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Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis
BACKGROUND: Congenital scoliosis (CS) may lead to more serious pulmonary complications compared with idiopathic scoliosis after spinal fusion surgery. However, little has been reported about postoperative pulmonary complication events in patients with CS after spinal fusion surgery. OBJECTIVE: To in...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6239341/ https://www.ncbi.nlm.nih.gov/pubmed/30444905 http://dx.doi.org/10.1371/journal.pone.0207657 |
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author | Yin, Si Tao, Huiren Du, Heng Feng, Chaoshuai Yang, Yimin Yang, Weizhou Duan, Chunguang |
author_facet | Yin, Si Tao, Huiren Du, Heng Feng, Chaoshuai Yang, Yimin Yang, Weizhou Duan, Chunguang |
author_sort | Yin, Si |
collection | PubMed |
description | BACKGROUND: Congenital scoliosis (CS) may lead to more serious pulmonary complications compared with idiopathic scoliosis after spinal fusion surgery. However, little has been reported about postoperative pulmonary complication events in patients with CS after spinal fusion surgery. OBJECTIVE: To investigate the incidence of and predictive factors of postoperative pulmonary complications following posterior spinal instrumentation and fusion surgery for the treatment of CS. METHODS: We retrospectively reviewed the records of 174 patients with CS (128 females and 46 males, mean age 16.4 years) treated with posterior spinal instrumentation and fusion surgery between January 2012 and April 2017. We extracted demographic, medical history, and clinical data, and investigated the major predictive factors for postoperative pulmonary complications by logistic regression and receiver-operating characteristic curves analyses. RESULTS: A total of 26 (14.9%) patients developed postoperative pulmonary complications, consisting of pleural effusion (10.9%), pneumonia (6.9%), pneumothorax (1.1%), atelectasis (2.3%), hypoxemia (6.3%), and respiratory failure (1.1%). Logistic regression analysis revealed that the predictive factors for postoperative pulmonary complications were age > 18.1 years (P = 0.039), a Cobb angle of > 77° (P = 0.011), operation time of > 430 min (P = 0.032), and blood transfusion volume > 1500 ml (P = 0.015). CONCLUSIONS: Postoperative pulmonary complications are among the main complications following posterior spinal instrumentation and fusion surgery in patients with CS. Such patients aged >18.1 years, with Cobb angles > 77°, operation times > 430 min, and/or blood transfusion volume of > 1500 ml may be more likely to develop postoperative pulmonary complications. |
format | Online Article Text |
id | pubmed-6239341 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-62393412018-12-01 Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis Yin, Si Tao, Huiren Du, Heng Feng, Chaoshuai Yang, Yimin Yang, Weizhou Duan, Chunguang PLoS One Research Article BACKGROUND: Congenital scoliosis (CS) may lead to more serious pulmonary complications compared with idiopathic scoliosis after spinal fusion surgery. However, little has been reported about postoperative pulmonary complication events in patients with CS after spinal fusion surgery. OBJECTIVE: To investigate the incidence of and predictive factors of postoperative pulmonary complications following posterior spinal instrumentation and fusion surgery for the treatment of CS. METHODS: We retrospectively reviewed the records of 174 patients with CS (128 females and 46 males, mean age 16.4 years) treated with posterior spinal instrumentation and fusion surgery between January 2012 and April 2017. We extracted demographic, medical history, and clinical data, and investigated the major predictive factors for postoperative pulmonary complications by logistic regression and receiver-operating characteristic curves analyses. RESULTS: A total of 26 (14.9%) patients developed postoperative pulmonary complications, consisting of pleural effusion (10.9%), pneumonia (6.9%), pneumothorax (1.1%), atelectasis (2.3%), hypoxemia (6.3%), and respiratory failure (1.1%). Logistic regression analysis revealed that the predictive factors for postoperative pulmonary complications were age > 18.1 years (P = 0.039), a Cobb angle of > 77° (P = 0.011), operation time of > 430 min (P = 0.032), and blood transfusion volume > 1500 ml (P = 0.015). CONCLUSIONS: Postoperative pulmonary complications are among the main complications following posterior spinal instrumentation and fusion surgery in patients with CS. Such patients aged >18.1 years, with Cobb angles > 77°, operation times > 430 min, and/or blood transfusion volume of > 1500 ml may be more likely to develop postoperative pulmonary complications. Public Library of Science 2018-11-16 /pmc/articles/PMC6239341/ /pubmed/30444905 http://dx.doi.org/10.1371/journal.pone.0207657 Text en © 2018 Yin et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Yin, Si Tao, Huiren Du, Heng Feng, Chaoshuai Yang, Yimin Yang, Weizhou Duan, Chunguang Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis |
title | Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis |
title_full | Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis |
title_fullStr | Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis |
title_full_unstemmed | Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis |
title_short | Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis |
title_sort | postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6239341/ https://www.ncbi.nlm.nih.gov/pubmed/30444905 http://dx.doi.org/10.1371/journal.pone.0207657 |
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