ArticleAsian spine journal2021
Neuromuscular Scoliosis: Comorbidities and Complications.
Article in Asian spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 11 citations in OpenAlex.
- Effect of prophylactic fibrinogen concentrate in scoliosis surgery (EFISS): a randomised pilot trial.BMJ open · 2025Trial
- Impact of Age at Surgery on Perioperative Outcomes After Posterior Spinal Fusion for Neuromuscular Scoliosis.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Reducing Transfusions in Neuromuscular Spinal Fusion: A National Surgical Quality Improvement Program-Pediatrics Quality Improvement Project.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Surgical management of neuromuscular scoliosis in paediatric patients: experiences from a tertiary centre multidisciplinary team.BMJ paediatrics open · 2025Article
- Comparison of two modeling approaches for the identification of predictors of complications in children with cerebral palsy following spine surgery.BMC medical research methodology · 2024Article
- Pelvic Fixation Technique Using the Ilio-Sacral Screw for 173 Neuromuscular Scoliosis Patients.Children (Basel, Switzerland) · 2024Article
- The indication of fusion to the pelvis in neuromuscular scoliosis is based on the underlying disease rather than on pelvic obliquity.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 · 2023Article
- Clinical and radiological efficacy of spino-pelvic fixation in the treatment of neuromuscular scoliosis.Scientific reports · 2023Article
- Effect of Prophylactic Fibrinogen Concentrate In Scoliosis Surgery (EFISS): a study protocol of two-arm, randomised trial.BMJ open · 2023Article
- Anesthesia and Perioperative Management for Surgical Correction of Neuromuscular Scoliosis in Children: A Narrative Review.Journal of clinical medicine · 2023Review
- Pulmonary Involvement in Neuromuscular Diseases: A Review.Iranian journal of child neurology · 2023Review
- Clinical Issues in Indication, Correction, and Outcomes of the Surgery for Neuromuscular Scoliosis: Narrative Review in Pedicle Screw Era.Neurospine · 2022Article
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Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSingle-center, retrospective cohort study conducted from 2013 to 2017. PURPOSE: To determine the risk factors for surgical complications in neuromuscular scoliosis based on known patient comorbidities. OVERVIEW OF LITERATURE: The concept of neuromuscular scoliosis includes a wide variety of pathologies affecting the neuromuscular system. Complications are numerous and are often difficult to predict.
methodsA retrospective analysis of a single-center database was conducted from 2013 to 2017. Inclusion criteria were patients aged <25 years, diagnosis of neuromuscular scoliosis, and history of posterior fusion deformity surgery. A total of 64 patients (mean age, 15 years; 63% females) were included in this study. Clinical, radiological, and laboratory parameters in the preoperative, intraoperative, and postoperative settings were analyzed. Univariate analysis was performed using Student t-test for continuous variables, and a chi-square test was used for noncontinuous variables. Multivariate analysis was performed to identify predictors of major, mechanical, and total complications.
resultsComplications were found in 44% of patients, with 46.9% consisting of major complications, and 84.4% being early complications. Univariate analysis revealed that the presence of perinatal comorbidities, independent of other comorbidities, increased the risk for complications (p=0.029). Preoperative hypoglycemia, high number of instrumented levels, longer surgical time, use of an all-screw construct, lower preoperative pelvic obliquity, postoperative lower kyphosis, high thoracic spinopelvic angle (as measured by T9 spino-pelvic inclination), absence of deep drain, and use of superficial drain were associated with postoperative complications (all p<0.05). Logistic regression demonstrated that comorbidities, longer surgical time, hypoglycemia, and absence of deep drains are predictors of complications. Independent variables that predicted major complications were the number of levels fused, postoperative kyphosis (p=0.025; odds ratio [OR], 1.074), and high screw density (p=0.014; OR, 4.380).
conclusionsComplications in neuromuscular scoliosis are increased by comorbidities, long surgical time, and inadequate correction. Preventative measures to decrease these complications include appropriate preoperative patient preparation and surgical planning.
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