Complications of surgical treatment of pediatric spinal deformities

Orthop Clin North Am. 2013 Jul;44(3):357-70, ix. doi: 10.1016/j.ocl.2013.03.007. Epub 2013 Apr 24.

Abstract

Surgery in a child with spinal deformity is challenging. Although current orthopedic practice ensures good long-term surgical results, complications occur. Idiopathic scoliosis represents the most extensively investigated deformity of the pediatric spine. Nonidiopathic deformities of the spine are at higher risk for perioperative and long-term complications, mainly because of underlying comorbidities. A multidisciplinary treatment strategy is helpful to assure optimization of medical conditions before surgery. Awareness of complications that occur during or after spine surgery is essential to avoid a poor outcome and for future surgical decision making. This article summarizes the complications of surgical treatment of the growing spine.

Keywords: Complications; Growing spine; Kyphosis; Scoliosis; Spinal fusion.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Comorbidity
  • Disease Progression
  • Humans
  • Intraoperative Complications / epidemiology
  • Kidney Diseases / epidemiology
  • Kyphosis / epidemiology
  • Kyphosis / surgery*
  • Orthopedic Procedures / adverse effects*
  • Prosthesis-Related Infections / epidemiology
  • Pseudarthrosis / etiology
  • Scoliosis / epidemiology
  • Scoliosis / surgery*
  • Spinal Cord Injuries / epidemiology
  • Spondylolisthesis / surgery