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. 2010 Sep-Oct;29(5):342-3.
doi: 10.1097/NOR.0b013e3181edd876.

A retrospective quality improvement study of ketorolac use following spinal fusion in pediatric patients

Pamela L Horn  1 , Sharon Wrona, Allan C Beebe, Jan E Klamar
Affiliations

A retrospective quality improvement study of ketorolac use following spinal fusion in pediatric patients

Pamela L Horn et al. Orthop Nurs. 2010 Sep-Oct.

Abstract

Background: There are studies and literature that support the claim that ketorolac use after spinal fusion in the adult population can increase the risk of pseudarthrosis, instrumentation failure, and/or nonunion. There is limited research when using ketorolac in the pediatric population, especially short-term use.

Methods: Chart review of 46 pediatric patients who had prior spinal fusions for scoliosis between July 2003 and August 2005. Twenty-five of the patients received ketorolac and 21 did not. The lengths of stay, incidence of curve progression, and/or incidence of nonunion or instrumentation failure were compared in the 2 groups.

Results: At the 1-year follow-up, 95% of the patients returned and at the 3-year follow-up, 52% of the patients returned and there was no clinical or radiographic evidence of curve progression, nonunion, or instrumentation failure.

Level of evidence: This is a retrospective study looking at results of 2 patient groups. This is a level III study.

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