Surgical treatment of adolescent idiopathic scoliosis: Complications
- PMID: 32153775
- PMCID: PMC7052396
- DOI: 10.1016/j.amsu.2020.02.004
Surgical treatment of adolescent idiopathic scoliosis: Complications
Abstract
Despite the fact that spinal surgeries for adolescent idiopathic scoliosis (AIS) result in good outcomes for most patients, they are not without complications either medically or surgically. Neurologic injury represents the most severe complication and is, as such, the most feared. Further complications include dural tears, peripheral neuropathy, surgical-site infections, implant-related issues, thromboembolic events, visual loss, pseudarthrosis, Crankshaft phenomenon, flatback phenomenon, proximal junctional kyphosis, and mortality. It is vital that all spine surgeons to be fully conversant with the possible complications and the proper responses for each of them.
Keywords: AIS, adolescent idiopathic scoliosis; Complications; DIC, disseminated intravascular coagulation; Fusion; Idiopathic; NIS, National Inpatient Sample; PJK, proximal junctional kyphosis; POVL, perio-perative visual loss; SSI, surgical site infection; Scoliosis; Spine; VTE, venous thromboembolism.
© 2020 The Author(s).
Conflict of interest statement
None of the authors have any conflict of interest to report.
References
-
- Weinstein S.L., Dolan L.A., Cheng J.C., Danielsson A., Morcuende J.A. Adolescent idiopathic scoliosis. Lancet. 2008;371:1527–1537. - PubMed
-
- Vigneswaran H.T., Grabel Z.J., Eberson C.P., Palumbo M.A., Daniels A.H. Surgical treatment of adolescent idiopathic scoliosis in the United States from 1997 to 2012: an analysis of 20, 346 patients. J. Neurosurg. Pediatr. 2015;16:322–328. - PubMed
-
- von Heideken J., Iversen M.D., Gerdhem P. Rapidly increasing incidence in scoliosis surgery over 14 years in a nationwide sample. Eur. Spine J. 2018;27:286–292. - PubMed
-
- Lykissas M.G., Jain V.V., Nathan S.T., Pawar V., Eismann E.A., Sturm P.F., Crawford A.H. Mid- to long-term outcomes in adolescent idiopathic scoliosis after instrumented posterior spinal fusion: a meta-analysis. Spine. 2013;38 (Phila. Pa. 1976) - PubMed
Publication types
LinkOut - more resources
Full Text Sources
