ArticleBMC neurology2020
Risk factors for neurological complications in severe and rigid spinal deformity correction of 177 cases.
Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Risk factors of early complications after thoracic and lumbar spinal deformity surgery: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Pooled it
- Evolution of multimodal intraoperative neuromonitoring in pediatric spinal deformity surgery over 39 years: are we better?Spine deformity · 2026Article
- Clinical outcomes after surgical treatment of severe congenital spinal deformity in skeletally mature patients: A minimum two-year follow-up study.Journal of orthopaedic surgery and research · 2025Article
- Understanding late-onset neurological deficit in severe rigid Scoliosis: A comprehensive review.Journal of clinical orthopaedics and trauma · 2025Article
- Risk Factors for Neurological Complications in Severe Spinal Deformity Surgery.Orthopaedic surgery · 2025Article
- Circumferential Correction of Severe Thoracolumbar Kyphosis by Utilizing an Articulating Rod and Lateral Interbody Device: A Technical Note.International journal of spine surgery · 2025Article
- Prevalence and Risk Factors for Postoperative Neurological Complications in Spinal Deformity Surgery: A Systematic Review and Proportional Meta-Analysis.Neurospine · 2025Article
- Accuracy and cost comparison of 3D-printed guides in complex spinal deformity correction: direct vs indirect design.Frontiers in bioengineering and biotechnology · 2025Article
- Comparative Analysis of Outcomes in Adult Spinal Deformity Patients with Proximal Junctional Kyphosis or Failure Initially Fused to Upper Versus Lower Thoracic Spine.Journal of clinical medicine · 2024Article
- Management Principles in a Case of True-positive Loss of Neuromonitoring Signals during Scoliosis Surgery: A Case Report.Journal of orthopaedic case reports · 2024Article
- Sequential correction of severe and rigid kyphoscoliosis: a new technical note and preliminary results.BMC musculoskeletal disorders · 2023Article
- Type 3 bone-disc-bone osteotomy (grade 4+ osteotomy) combined with presurgical halo-pelvic traction: a safe and effective solution to correct severe angular-like kyphoscoliosis.Quantitative imaging in medicine and surgery · 2023Article
- Clinical Application of Personalized Digital Surgical Planning and Precise Execution for Severe and Complex Adult Spinal Deformity Correction Utilizing 3D Printing Techniques.Journal of personalized medicine · 2023Article
- Sequential correction using satellite rod for the treatment of severe rigid spinal deformity: a retrospective study of 19 cases.European journal of medical research · 2022Article
- Time course of lesion-induced atrophy in multiple sclerosis.Journal of neurology · 2022Article
- Development and initial validation of classification for severe spinal deformity based on X-ray features.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundDifficult procedures of severe rigid spinal deformity increase the risk of intraoperative neurological injury. Here, we aimed to investigate the preoperative and intraoperative risk factors for postoperative neurological complications when treating severe rigid spinal deformity.
methodsOne hundred seventy-seven consecutive patients who underwent severe rigid spinal deformity correction were assigned into 2 groups: the neurological complication (NC, 22 cases) group or non-NC group (155 cases). The baseline demographics, preoperative spinal cord functional classification, radiographic parameters (curve type, curve magnitude, and coronal/sagittal/total deformity angular ratio [C/S/T-DAR]), and surgical variables (correction rate, osteotomy type, location, shortening distance of the osteotomy gap, and anterior column support) were analyzed to determine the risk factors for postoperative neurological complications.
resultsFifty-eight patients (32.8%) had intraoperative evoked potentials (EP) events. Twenty-two cases (12.4%) developed postoperative neurological complications. Age and etiology were closely related to postoperative neurological complications. The spinal cord functional classification analysis showed a lower proportion of type A, and a higher proportion of type C in the NC group. The NC group had a larger preoperative scoliosis angle, kyphosis angle, S-DAR, T-DAR, and kyphosis correction rate than the non-NC group. The results showed that the NC group tended to undergo high-grade osteotomy. No significant differences were observed in shortening distance or anterior column support of the osteotomy area between the two groups.
conclusionsPostoperative neurological complications were closely related to preoperative age, etiology, severity of deformity, angulation rate, spinal cord function classification, intraoperative osteotomy site, osteotomy type, and kyphosis correction rate. Identification of these risk factors and relative development of surgical techniques will help to minimize neural injuries and manage postoperative neurological complications.
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