Unplanned return to operation room (OR) following growing spinal constructs (GSCs) in early onset scoliosis (EOS)-a multi-centric study

Basu, Saumyajit; Solanki, Anil; Srivastava, Abhishek; Shetty, Ajoy Prasad; Rajasekaran, S.; Jayaswal, Arvind

doi:10.1007/s00586-020-06506-4

Cited by 8 publications

(2 citation statements)

References 39 publications

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“…An unplanned return to the operating room is associated with an 11.65-fold increase in the risk of hospital readmission, and the quality of life of patients who undergo USS is worse [ 19 ]. The outcomes of breast cancer patients were found to be aggravated after USS [ 20 ], with similar reports in patients with acute spinal cord injury [ 21 ] and cervical spondylitis myelopathy [ 22 ]. More severe complications can be induced by USS in patients with femur fractures and spinal cord injuries [ 23 ].…”

Section: Discussionmentioning

confidence: 67%

Characteristics and therapeutic profile of TBI patients who underwent bilateral decompressive craniectomy: experience with 151 cases

Zhao

Song

Yuan

et al. 2022

Scand J Trauma Resusc Emerg Med

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Background Decompressive craniectomy (DC) and intracranial pressure (ICP) monitoring are common approaches to reduce the death rate of Traumatic brain injury (TBI) patients, but the outcomes of these patients are unfavorable, particularly those who receive bilateral DC. The authors discuss their experience using ICP and other potential methods to improve the outcomes of TBI patients who receive bilateral DC. Methods Data from TBI patients receiving bilateral DC from Jan. 2008 to Jan. 2022 were collected via a retrospective chart review. Included patients who received unplanned contralateral DC after initial surgery were identified as unplanned secondary surgery (USS) patients. Patients’ demographics and baseline medical status; pre-, intra-, and postoperative events; and follow-up visit outcome data were analyzed. Results A total of 151 TBI patients were included. Patients who underwent USS experienced more severe outcomes as assessed using the 3-month modified Rankin Scale score (P = 0.024). In bilateral DC TBI patients, USS were associated with worsen outcomes, moreover, ICP monitoring was able to lower their death rate and was associated with a lower USS incidence. In USS patients, ICP monitoring was not associated with improved outcomes but was able to lower their mortality rate (2/19, 10.5%, vs. 10/25, 40.0%; P = 0.042). Conclusion The avoidance of USS may be associated with improved outcomes of TBI patients who underwent bilateral DC. ICP monitoring was a potential approach to lower USS rate in TBI patients, but its specific benefits were uncertain.

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Section: Discussionmentioning

confidence: 67%

Characteristics and therapeutic profile of TBI patients who underwent bilateral decompressive craniectomy: experience with 151 cases

Zhao

Song

Yuan

et al. 2022

Scand J Trauma Resusc Emerg Med

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“…22,48 En pacientes con escoliosis neuromusculares, la tasa de cirugías no planeadas por complicaciones con las barras de crecimiento suele ser alta. 49 En esta revisión, es evidente y lógico que la tasa de complicaciones haya sido menor en los tratamientos no quirúrgicos (5,8-36%) 23,30 que en los quirúrgicos (21,5-73,1%), 21,22,24,26,27 fue mucho más alta en pacientes espásticos que en hipotónicos 22 y en casos graves que en los moderados. 28 La clasificación de Smith y cols.…”

Section: Complicacionesunclassified

Tratamiento de la escoliosis neuromuscular en niños pequeños con parálisis cerebral espástica grave: revisión sistemática de la bibliografía

Manzone

2022

Rev. Asoc. Arg. Ort. y Traumatol

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Objetivo: El riesgo de desarrollar escoliosis de comienzo temprano es alto en niños con parálisis cerebral espástica, nivel IV y V del GMFCS. No hay acuerdo sobre el tratamiento para niños <5-6 años y esta revisión sistemática se centra en este tópico. Materiales y Métodos: Búsqueda en PubMed, Google Scholar, Cochrane Library, BVS/BIREME, LILACS y SciELO, entre enero de 2009 y noviembre de 2020, con los descriptores: “cerebral palsy, scoliosis, early-onset, treatment”. Se eliminaron los artículos duplicados, no relacionados con la investigación, sin texto completo, con pocos pacientes con parálisis cerebral espástica, sin discriminación etiológica, sin resultados y con edad avanzada. Evaluaciones: nivel de evidencia, edad, nivel del GMFCS, tipo de deformidades, tratamientos, seguimiento, resultados y complicaciones. Resultados: Se incluyeron 10 de 6770 artículos: 8 con nivel de evidencia IV, edad: 3.2-10 años, deformidad predominante: escoliosis, seguimiento: 1.5-9.8 años. Tratamientos: barras de crecimiento tradicionales o magnéticas, fusión instrumentada precoz, yesos, ortesis y prótesis costal expandible de titanio. La fusión precoz instrumentada logra una corrección ≥75% del ángulo de Cobb; las barras de crecimiento, las ortesis o la prótesis costal expandible de titanio, el 25-50%, y los yesos solo logran mantenerla. La tasa de complicaciones es menor en los tratamientos incruentos (5,8-36%) que en los quirúrgicos (21,5-73,1%). Las tasas de complicaciones quirúrgicas y de muerte poscirugía en espásticos son mayores que en hipotónicos. Conclusiones: La cirugía no es una buena opción inicial para las escoliosis de comienzo temprano en niños pequeños con parálisis cerebral espástica, nivel IV y V del GMFCS.

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Surgical Site Infection in Spine Surgery

Catanzano

Upasani

2022

Pediatric Musculoskeletal Infections

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Unplanned return to operation room (OR) following growing spinal constructs (GSCs) in early onset scoliosis (EOS)-a multi-centric study

Cited by 8 publications

References 39 publications

Characteristics and therapeutic profile of TBI patients who underwent bilateral decompressive craniectomy: experience with 151 cases

Characteristics and therapeutic profile of TBI patients who underwent bilateral decompressive craniectomy: experience with 151 cases

Tratamiento de la escoliosis neuromuscular en niños pequeños con parálisis cerebral espástica grave: revisión sistemática de la bibliografía

Surgical Site Infection in Spine Surgery

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