Revision surgery after primary spine fusion for idiopathic scoliosis.

摘要: Study Design. Retrospective case series. Objective. The objective of this study was to review the overall prevalence of, and indications for, reoperations after index spine fusion for idiopathic scoliosis at our center. Summary Background Data. Spine fusions are expected be final therapeutic intervention in management. In a recent publication 2006, were reported 12.9% patients single institution (n = 1046). Methods. A spinal deformity database search center identified all primary anterior, posterior, circumferential performed (1985-2003). total 1057 whose mean age 14.4 years (7-22 years) with minimum 2 year follow-up surgery. cohort consisted who underwent reoperation any reason procedure. Results. Of scoiiosis, 41 (3.9%) reoperation. Primary surgeries were: 11 anterior fusions, 25 posterior 5 fusions. Mean 5.7 (2-10.8). Forty-seven additional procedures during 46 an average 26 months procedure (1 week-73 months). 47 reoperations, 20 (43%) revision (for pseudarthroses, uninstrumented curve progression or junctional kyphosis), 16 (34%) because infections (5 acute, chronic), 7 (15%) implant removals due pain and/or prominence (4 complete, 3 partial), (4%) loosened implants, elective thoracoplasties. Conclusion. This documented 3.9% rate medical center, 3-fold lower than previously 12.9%. most common (34%), pseudarthroses (26%), postoperative adjacent unfused (17%).