Unanticipated Revision Surgery in Adolescent Idiopathic Scoliosis

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dc.contributor.authorCampos, Mauricio
dc.contributor.authorDolan, Lori
dc.contributor.authorWeinstein, Stuart
dc.date.accessioned2024-01-10T12:10:28Z
dc.date.available2024-01-10T12:10:28Z
dc.date.issued2012
dc.description.abstractStudy Design. Retrospective case series.
dc.description.abstractObjective. The objective of this study was to share our experience in the surgical treatment of adolescent idiopathic scoliosis (AIS), specifically the rate of revision surgeries and their indications.
dc.description.abstractSummary of Background Data. Minimizing AIS surgical morbidity includes prevention of short-and long-term complications that could require an unanticipated revision. There have been an increasing number of reports about revision rates and their causes in AIS. This study summarizes the experience of a large patient population treated by a single surgeon in a single institution.
dc.description.abstractMethods. All patients who underwent surgical treatment for AIS between 10 and 20 years of age during 1983 to 2005 were reviewed. All revision surgeries performed during the same period were searched. The indications for revision and type of procedure performed were recorded.
dc.description.abstractResults. A total of 502 patients with AIS underwent spinal fusion with instrumentation at an average age of 14.3 years at initial surgery. In 485 patients, the surgery consisted of posterior-only spinal fusion. A total of 24 revision surgeries were performed for 23 patients (4.9%; cumulative probability of revision = 8%). The primary indications for revision were residual rib deformity (n = 8), instrumentation dislodgement (n = 4), compensatory curve progression (n = 3), junctional kyphosis (n = 3), and symptomatic implants (n = 3). One patient had a late infection. There was 1 case of pseudoarthrosis. One patient requested scar revision. There were no cases of neurological deficit.
dc.description.abstractConclusion. In this single-surgeon series, revision after the index spinal fusion was required for a relatively low proportion of patients. The main indications for revision were residual rib deformity, hook dislodgment, and progression of the unfused compensatory curve.
dc.fechaingreso.objetodigital2024-05-16
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1097/BRS.0b013e31823ced6f
dc.identifier.issn0362-2436
dc.identifier.pubmedidMEDLINE:22037531
dc.identifier.urihttps://doi.org/10.1097/BRS.0b013e31823ced6f
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76579
dc.identifier.wosidWOS:000304364800016
dc.information.autorucMedicina;Campos M ;S/I;2624
dc.issue.numero12
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final1053
dc.pagina.inicio1048
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.revistaSPINE
dc.rightsacceso restringido
dc.subjectadolescent idiopathic scoliosis
dc.subjectrevision surgery
dc.subjectcomplications
dc.subjectCOTREL-DUBOUSSET INSTRUMENTATION
dc.subjectFOLLOW-UP
dc.subjectHARRINGTON INSTRUMENTATION
dc.subjectSPINAL-FUSION
dc.subjectARTHRODESIS
dc.subjectINFECTIONS
dc.subjectPAIN
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleUnanticipated Revision Surgery in Adolescent Idiopathic Scoliosis
dc.typeartículo
dc.volumen37
sipa.codpersvinculados2624
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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