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The Early and Late Postoperative Complications of Pediatric Neuromuscular Scoliosis at King Abdulaziz Medical City, Riyadh, Saudi Arabia: A Case Series
Background Neuromuscular Scoliosis (NMS) is defined as “a coronal plane spinal curvature of 10 degrees or more, measured by the Cobb method, in the setting of muscle imbalance secondary to an underlying neuropathic or myopathic disease”.( )Patients who have the disease usually manifest with diminis...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9482685/ https://www.ncbi.nlm.nih.gov/pubmed/36148194 http://dx.doi.org/10.7759/cureus.28154 |
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author | Ashour, Hadeel A Almohaisen, Ghadi a Hawsawi, Samira A Aljrayed, Maha A AlKhelaiwi, Shihanah M Alsayegh, Samir Aleissa, Sami I Alshaya, Wael A |
author_facet | Ashour, Hadeel A Almohaisen, Ghadi a Hawsawi, Samira A Aljrayed, Maha A AlKhelaiwi, Shihanah M Alsayegh, Samir Aleissa, Sami I Alshaya, Wael A |
author_sort | Ashour, Hadeel A |
collection | PubMed |
description | Background Neuromuscular Scoliosis (NMS) is defined as “a coronal plane spinal curvature of 10 degrees or more, measured by the Cobb method, in the setting of muscle imbalance secondary to an underlying neuropathic or myopathic disease”.( )Patients who have the disease usually manifest with diminished balance, asymmetrical seating, abnormal gait, and decreased pulmonary function, which are related to the change in spine posture. Surgery benefits patients with NMS in terms of stopping disease advancement and improving quality of life, but is known to be associated with certain complications in this population. The aim of this study is to identify the most common complication in NMS patients after surgical correction. Methods This study is a chart review-based retrospective case series that has covered patients’ data going from 2015 to 2019. The study focused on patients who underwent scoliosis correction surgery of both genders and mainly of a single ethnicity, with the inclusion of patients aged 9 to 18 years old. Under consecutive sampling, the study has met a sample size of 14 patients. Results Most of the study subjects nine (64%) were female. The age median was 13 years (2.25). The highest documented intraoperative complication was blood loss in 11 (79%) patients. The most prevalent early postoperative complication was urinary tract infection in two (14%) patients. No late postoperative complications were documented in the study. Conclusion The study concluded that blood loss was the most common intraoperative complication. Pulmonary problems were one of the least reported complications. Possible reasons for these findings and prevention methods should be the focus of future studies. |
format | Online Article Text |
id | pubmed-9482685 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-94826852022-09-21 The Early and Late Postoperative Complications of Pediatric Neuromuscular Scoliosis at King Abdulaziz Medical City, Riyadh, Saudi Arabia: A Case Series Ashour, Hadeel A Almohaisen, Ghadi a Hawsawi, Samira A Aljrayed, Maha A AlKhelaiwi, Shihanah M Alsayegh, Samir Aleissa, Sami I Alshaya, Wael A Cureus Pediatric Surgery Background Neuromuscular Scoliosis (NMS) is defined as “a coronal plane spinal curvature of 10 degrees or more, measured by the Cobb method, in the setting of muscle imbalance secondary to an underlying neuropathic or myopathic disease”.( )Patients who have the disease usually manifest with diminished balance, asymmetrical seating, abnormal gait, and decreased pulmonary function, which are related to the change in spine posture. Surgery benefits patients with NMS in terms of stopping disease advancement and improving quality of life, but is known to be associated with certain complications in this population. The aim of this study is to identify the most common complication in NMS patients after surgical correction. Methods This study is a chart review-based retrospective case series that has covered patients’ data going from 2015 to 2019. The study focused on patients who underwent scoliosis correction surgery of both genders and mainly of a single ethnicity, with the inclusion of patients aged 9 to 18 years old. Under consecutive sampling, the study has met a sample size of 14 patients. Results Most of the study subjects nine (64%) were female. The age median was 13 years (2.25). The highest documented intraoperative complication was blood loss in 11 (79%) patients. The most prevalent early postoperative complication was urinary tract infection in two (14%) patients. No late postoperative complications were documented in the study. Conclusion The study concluded that blood loss was the most common intraoperative complication. Pulmonary problems were one of the least reported complications. Possible reasons for these findings and prevention methods should be the focus of future studies. Cureus 2022-08-19 /pmc/articles/PMC9482685/ /pubmed/36148194 http://dx.doi.org/10.7759/cureus.28154 Text en Copyright © 2022, Ashour et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pediatric Surgery Ashour, Hadeel A Almohaisen, Ghadi a Hawsawi, Samira A Aljrayed, Maha A AlKhelaiwi, Shihanah M Alsayegh, Samir Aleissa, Sami I Alshaya, Wael A The Early and Late Postoperative Complications of Pediatric Neuromuscular Scoliosis at King Abdulaziz Medical City, Riyadh, Saudi Arabia: A Case Series |
title | The Early and Late Postoperative Complications of Pediatric Neuromuscular Scoliosis at King Abdulaziz Medical City, Riyadh, Saudi Arabia: A Case Series |
title_full | The Early and Late Postoperative Complications of Pediatric Neuromuscular Scoliosis at King Abdulaziz Medical City, Riyadh, Saudi Arabia: A Case Series |
title_fullStr | The Early and Late Postoperative Complications of Pediatric Neuromuscular Scoliosis at King Abdulaziz Medical City, Riyadh, Saudi Arabia: A Case Series |
title_full_unstemmed | The Early and Late Postoperative Complications of Pediatric Neuromuscular Scoliosis at King Abdulaziz Medical City, Riyadh, Saudi Arabia: A Case Series |
title_short | The Early and Late Postoperative Complications of Pediatric Neuromuscular Scoliosis at King Abdulaziz Medical City, Riyadh, Saudi Arabia: A Case Series |
title_sort | early and late postoperative complications of pediatric neuromuscular scoliosis at king abdulaziz medical city, riyadh, saudi arabia: a case series |
topic | Pediatric Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9482685/ https://www.ncbi.nlm.nih.gov/pubmed/36148194 http://dx.doi.org/10.7759/cureus.28154 |
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