Incidence of complications in the management of non-ambulatory neuromuscular early-onset scoliosis with a rib-based growing system: high- versus low-tone patients.

作者: Norman Ramirez , Gerardo Olivella , Omar Rodriguez , Pablo Marrero , John Smith

DOI: 10.1007/S00590-019-02614-0

关键词:

摘要: PURPOSE The purpose of this study is to evaluate whether patients with high-tone neuromuscular early-onset scoliosis have different surgical outcome and complication rate, when compared low-tone treated a rib-to-pelvis rib-based dual growing system. METHODS This retrospective cohort 67 patients, collected from multicenter database, All were divided into two groups: high tone low tone. Pre-, intra- postoperative data between both groups. Complications reported by standardized RESULTS Twenty-six 41 found homogeneous regarding gender, age at surgery, weight, height, estimated blood loss surgery time. High-tone group (19/26 = 73.1%) experiences more complications than (22/41 = 53.7%). Most common infection, device migration, death hardware failure. Permanent abandonment technique removal was required in 21% (P < 0.001). None the abandonment. CONCLUSION had those management A approach may be treat scoliosis.

参考文章(24)
John T. Smith, Bilateral rib-to-pelvis technique for managing early-onset scoliosis. Clinical Orthopaedics and Related Research. ,vol. 469, pp. 1349- 1355 ,(2011) , 10.1007/S11999-010-1700-2
Kristin Livingston, David Zurakowski, Brian Snyder, Growing Spine Study GroupChildren's Spine Study Group, Parasol Rib Deformity in Hypotonic Neuromuscular Scoliosis: A New Radiographical Definition and a Comparison of Short-term Treatment Outcomes With VEPTR and Growing Rods. Spine. ,vol. 40, ,(2015) , 10.1097/BRS.0000000000000911
Albert Fujak, Gerrit Haaker, Proximal spinal muscular atrophy: current orthopedic perspective. The application of clinical genetics. ,vol. 6, pp. 113- 120 ,(2013) , 10.2147/TACG.S53615
Shay Bess, Behrooz A Akbarnia, George H Thompson, Paul D Sponseller, Suken A Shah, Hazem El Sebaie, Oheneba Boachie-Adjei, Lawrence I Karlin, Sarah Canale, Connie Poe-Kochert, David L Skaggs, Complications of growing-rod treatment for early-onset scoliosis: analysis of one hundred and forty patients Journal of Bone and Joint Surgery, American Volume. ,vol. 92, pp. 2533- 2543 ,(2010) , 10.2106/JBJS.I.01471
Lynn Bar-On, Guy Molenaers, Erwin Aertbeliën, Anja Van Campenhout, Hilde Feys, Bart Nuttin, Kaat Desloovere, Spasticity and Its Contribution to Hypertonia in Cerebral Palsy BioMed Research International. ,vol. 2015, pp. 317047- 317047 ,(2015) , 10.1155/2015/317047
John T. Smith, Charles Johnston, David Skaggs, John Flynn, Michael Vitale, A New Classification System to Report Complications in Growing Spine Surgery: A Multicenter Consensus Study. Journal of Pediatric Orthopaedics. ,vol. 35, pp. 798- 803 ,(2015) , 10.1097/BPO.0000000000000386
Mark J. McElroy, Paul D. Sponseller, Jonathan R. Dattilo, George H. Thompson, Behrooz A. Akbarnia, Suken A. Shah, Brian D. Snyder, Growing Rods for the Treatment of Scoliosis in Children With Cerebral Palsy Spine. ,vol. 37, pp. E1504- E1510 ,(2012) , 10.1097/BRS.0B013E31826FABD3
Sheila Chandran, James McCarthy, Kenneth Noonan, David Mann, Blaise Nemeth, Teresa Guiliani, Early treatment of scoliosis with growing rods in children with severe spinal muscular atrophy: a preliminary report. Journal of Pediatric Orthopaedics. ,vol. 31, pp. 450- 454 ,(2011) , 10.1097/BPO.0B013E31821722B1