Abstract
Background
Despite the recent improvements in the surgical treatment of congenital kyphosis, this surgery may be associated with high rate of complications “particularly when patients are symptomatic preoperatively”.
Materials and methods
Medical profiles of 40 patients with symptomatic congenital kyphosis were retrospectively reviewed. Perioperative complications were recorded and divided in two groups including catastrophic complications (neurologic deficit, pulmonary thromboembolic events, and death) and major complications (infection, deep vein thrombosis, device failure, and dural injury).
Results
Catastrophic surgical complications occurred in nine (22.5%) patients including seven neurological deficits and two death. A significant association was observed between the incidence of major complications and type III of congenital kyphosis (P = 0.021). Major complications occurred in 14 (30%) patients.
Conclusion
Surgical treatment significantly improve symptomatic congenital kyphosis deformity; however, surgery of symptomatic patient may be associated with higher rate of complications and even death.
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Data availability
The authors confirm that the data supporting the findings of this study are available with in the article and its suplemantary material. Raw data that support the findings of this study are available from the corresponding author, upon reasonable request.
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MC: made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data; or the creation of new software used in the work. FN: drafted the work or revised it critically for important intellectual content. MS: drafted the work or revised it critically for important intellectual content. BJ: made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data; or the creation of new software used in the work. EAM: approved the version to be published. HG: agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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Chehrassan, M., Nikouei, F., Shakeri, M. et al. Perioperative complications of symptomatic congenital kyphosis: a retrospective cohort study. Spine Deform 12, 181–187 (2024). https://doi.org/10.1007/s43390-023-00751-5
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DOI: https://doi.org/10.1007/s43390-023-00751-5