Same-day versus staged anterior-posterior spinal surgery in a neuromuscular scoliosis population: the evaluation of medical complications

J Pediatr Orthop. 1996 May-Jun;16(3):293-303. doi: 10.1097/00004694-199605000-00003.

Abstract

The medical complications occurring in 29 patients with neuromuscular spinal deformity undergoing two-stage anterior-posterior spinal fusion ("staged") were compared with 16 neuromuscular patients undergoing single-stage anterior-posterior spinal fusion ("same day"). Thirty-six (124%) major and minor medical complications occurred postoperatively in the staged patients, whereas 14 (88%) major or minor complication were present in same-day surgery patients. Thirty-five percent of staged patients had no complications, whereas 63% of same-day patients were without complications. Associated findings comparing the two-stage procedure to the single-stage surgery included operative and anesthesia time increase, increased blood-volume loss, increased blood transfusion, decreased nutritional parameters, and longer hospital stays. With either approach, there is the risk of significant complications in this vulnerable population.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Ambulatory Surgical Procedures* / methods
  • Child
  • Cohort Studies
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Male
  • Neuromuscular Diseases / complications*
  • Postoperative Complications* / epidemiology
  • Postoperative Complications* / physiopathology
  • Prognosis
  • Risk Factors
  • Scoliosis / etiology
  • Scoliosis / surgery*
  • Spinal Fusion / methods*