Skip to main content

Spinal Deformity Surgery in Children and Its Complications

  • Chapter
  • First Online:
Paediatric Scoliosis
  • 259 Accesses

Abstract

Departing from the usual method of chapters, we would like to approach complications slightly differently.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Oh CH, Ji GY, Yoon SH, Hyun D, Park HC, Kim YJ. Paralytic ileus and prophylactic gastrointestinal motility medication after spinal operation. Yonsei Med J. 2015;56(6):1627–31.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Shapiro G, Green DW, Fatica NS, Boachie-Adjei O. Medical complications in scoliosis surgery. Curr Opin Pediatr. 2001;13:36–41.

    Article  CAS  PubMed  Google Scholar 

  3. Zhu ZZ, Qiu Y. Superior mesenteric artery syndrome following scoliosis surgery: its risk indicators and treatment strategy. World J Gastroenterol. 2005;11:3307–10.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Gul W, Qazi A, Ali SA, Barde C. Acute gastric dilatation in a patient with spinal injury and multiple myeloma. Gastroenterol Hepatol. 2008;4(6):428–32.

    Google Scholar 

  5. Hashmi S, Kelly E, Rogers SO, Gates J. Urinary tract infection in surgical patients. Am J Surg. 2003;186(1):53–6.

    Article  PubMed  Google Scholar 

  6. Lehman RA Jr, Lenke LG, Keeler KA, Kim YJ, Cheh G. Computed tomography evaluation of pedicle screws placed in the pediatric deformed spine over an 8-year period. Spine. 2007;32:2679–84.

    Article  PubMed  Google Scholar 

  7. Isiklar ZU, Lindsey RW, Coburn M. Ureteral injury after anterior lumbar interbody fusion. A case report. Spine (Phila Pa 1976). 1996;21(20):2379–82.

    Article  CAS  PubMed  Google Scholar 

  8. Patel N, Shah A, Talanki V, Adler HL. Ureteral injury after posterior spinal fusion. Urol Case Rep. 2021;36:101559.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Yuan N, Fraire JA, Margetis MM, Skaggs DL, Tolo VT, Keens TG. The effect of scoliosis surgery on lung function in the immediate postoperative period. Spine (Phila Pa 1976). 2005;30(19):2182–5.

    Article  PubMed  Google Scholar 

  10. Issac E, Menon G, Vasu BK, George M, Vasudevan A. Predictors of postoperative ventilation in scoliosis surgery: a retrospective analysis. Anesth Essays Res. 2018;12(2):407–11.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Grossfeld S, Winter RB, Lonstein JE, Denis F, Leonard A, Johnson L. Complications of anterior spinal surgery in children. J Pediatr Orthop. 1997;17:89–95.

    Article  CAS  PubMed  Google Scholar 

  12. Cho MS, Modi P, Sharma S. Transfusion-related acute lung injury. Treasure Island (FL): StatPearls Publishing; 2022.

    Google Scholar 

  13. MacEwen GD, Bunnell WP, Sriram K. Acute neurological complications in the treatment of scoliosis. A report of Scoliosis Research Society. J Bone Jt Surg Am. 1975;57:404–8.

    Article  CAS  Google Scholar 

  14. Lewis SJ, Keshen SG, Lewis ND, Dear TE, Mehrkens A, Niazi AU. Tension pneumothorax as a complication of inadvertent pleural tears during posterior spinal surgery. Spine Deform. 2014;2(4):316–21.

    Article  PubMed  Google Scholar 

  15. Rahimizadeh A, Hassani V, Mohsenikabir N, Rahimizadeh A, Karimi M, Asgari N. Intraoperative tension pneumothorax during posterior vertebral column resection in a child with congenital scoliosis. Surg Neurol Int. 2019;10:155.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Zhang JG, Wang W, Qiu GX, Wang YP, Weng XS, Xu HG. The role of preoperative pulmonary function tests in the surgical treatment of scoliosis. Spine. 2005;30:218–21.

    Article  CAS  PubMed  Google Scholar 

  17. Marts BC, Naunheim KS, Fiore AC, Pennington DG. Conservative versus surgical management of chylothorax. Am J Surg. 1992;164:532–4.

    Article  CAS  PubMed  Google Scholar 

  18. Verhoeven W, Low CO, See HF, Chacha PB, Tan NC. Massive chylothorax after anterior fusion of the thoracic spine. Ann Acad Med Singap. 1996;25:286–8.

    CAS  PubMed  Google Scholar 

  19. Vijayan D, Ramakrishnan A, Christudas J. Prevalence of asymptomatic cardiac valvular anomalies in adolescent idiopathic scoliosis—a descriptive study from retrospective data analysis. J Evid Based Med Healthc. 2020;7(30):1469–73. https://doi.org/10.18410/jebmh/2020/310.

    Article  Google Scholar 

  20. Nickels TJ, Manlapaz MR, Farag E. Perioperative visual loss after spine surgery. World J Orthop. 2014;5(2):100–6.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Diab M, Smith AR, Kuklo TR, Spinal Deformity Study Group. Neural complications in the surgical treatment of adolescent idiopathic scoliosis. Spine. 2007;32:2759–63.

    Article  PubMed  Google Scholar 

  22. Qiu Y, Wang S, Wang B, Yu Y, Zhu F, Zhu Z. Incidence and risk factors of neurological deficits of surgical correction for scoliosis: analysis of 1373 cases at one Chinese institution. Spine. 2008;33:519–26.

    Article  PubMed  Google Scholar 

  23. Brown CA, Lenke LG, Bridwell KH, Geideman WM, Hasan SA, Blanke K. Complications of pediatric thoracolumbar and lumbar pedicle screws. Spine. 1998;23:1566–71.

    Article  CAS  PubMed  Google Scholar 

  24. Kim YW, Lenke LG, Kim YJ, et al. Free-hand pedicle screw placement during revision spinal surgery: analysis of 552 screws. Spine. 2008;33:1141–8.

    Article  PubMed  Google Scholar 

  25. Jin M, Liu Z, Qiu Y, Yan H, Han X, Zhu Z. Incidence and risk factors for the misplacement of pedicle screws in scoliosis surgery assisted by O-arm navigation-analysis of a large series of one thousand, one hundred and forty five screws. Int Orthop. 2017;41(4):773–80.

    Article  PubMed  Google Scholar 

  26. Mawad ME, Rivera V, Crawford S, Ramirez A, Breitbach W. Spinal cord ischemia after resection of thoracoabdominal aortic aneurysms: MR findings in 24 patients. AJR Am J Roentgenol. 1990;155:1303–7.

    Article  CAS  PubMed  Google Scholar 

  27. Samtani RG, Bernatz JT, Halanski MA, Noonan KJ. Cervical spine injury following thoracic spinal fusion for adolescent idiopathic scoliosis. Cureus. 2019;11(10):e5840.

    PubMed  PubMed Central  Google Scholar 

  28. Lenke LG, Sides BA, Koester LA, Hensley M, Blanke KM. Vertebral column resection for the treatment of severe spinal deformity. Clin Orthop Relat Res. 2010;468(3):687–99.

    Article  PubMed  Google Scholar 

  29. Padberg AM, Wilson-Holden TJ, Lenke LG, Bridwell KH. Somatosensory-and motor-evoked potential monitoring without awake-up test during idiopathic scoliosis surgery. An accepted standard of care. Spine. 1998;23:1392–400.

    Article  CAS  PubMed  Google Scholar 

  30. Nagarajan L, Ghosh S, Dillon D, Palumbo L, Woodland P, Thalayasingam P, Lethbridge M. Intraoperative neurophysiology monitoring in scoliosis surgery in children. Clin Neurophysiol Pract. 2019;4:11–7.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Cheh G, Lenke LG, Padberg AM, et al. Loss of spinal cord monitoring signals in children during thoracic kyphosis correction with spinal osteotomy: why does it occur and what should you do? Spine. 2008;33:1093–9.

    Article  PubMed  Google Scholar 

  32. Keyoung HM, Kanter AS, Mummaneni PV. Delayed-onset neurological deficit following the correction of severe thoracic kyphotic deformity. J Neurosurg Spine. 2008;8:74–9.

    Article  PubMed  Google Scholar 

  33. Mineiro J, Weinstein SL. Delayed postoperative paraparesis in scoliosis surgery. A case report. Spine. 1997;22:1668–72.

    Article  CAS  PubMed  Google Scholar 

  34. Faciszewski T, Winter RB, Lonstein JE, Denis F, Johnson L. The surgical and medical perioperative complications of anterior spinal fusion surgery in the thoracic and lumbar spine in adults. A review of 1223 procedures. Spine. 1995;20:1592–9.

    Article  CAS  PubMed  Google Scholar 

  35. Girardi FP, Boachie-Adjei O, Rawlins BA. Safety of sublaminar wires with Isola instrumentation for the treatment of idiopathic scoliosis. Spine. 2000;25:691–5.

    Article  CAS  PubMed  Google Scholar 

  36. Luque ER. Segmental spinal instrumentation for correction of scoliosis. Clin Orthop Relat Res. 1982;163:192–8.

    Article  Google Scholar 

  37. Hsu WK, Wang JC. The use of bone morphogenetic protein in spine fusion. Spine J. 2008;8:419–25.

    Article  PubMed  Google Scholar 

  38. Dawson EG, Clader TJ, Bassett LW. A comparison of different methods used to diagnose pseudarthrosis following posterior spinal fusion for scoliosis. J Bone Jt Surg Am. 1985;67:1153–9.

    Article  CAS  Google Scholar 

  39. Zinreich SJ, Long DM, Davis R, Quinn CB, McAfee PC, Wang H. Three-dimensional CT imaging in postsurgical “failed back” syndrome. J Comput Assist Tomogr. 1990;14:574–80.

    Article  CAS  PubMed  Google Scholar 

  40. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Centers for disease control and prevention (CDC) hospital infection control practices advisory committee. Guideline for prevention of surgical site infection, 1999. Am J Infect Control. 1999;27:97–132.

    Article  CAS  PubMed  Google Scholar 

  41. Bose B. Delayed infection after instrumented spine surgery: case reports and review of the literature. Spine J. 2003;3:394–9.

    Article  PubMed  Google Scholar 

  42. Collins I, Wilson-MacDonald J, Chami G, et al. The diagnosis and management of infection following instrumented spinal fusion. Eur Spine J. 2008;17:445–50.

    Article  PubMed  Google Scholar 

  43. Xu W, Chen C, Li Y, Yang C, Li M, Li Z, Zhu X. Distal adding-on phenomenon in adolescent idiopathic scoliosis patients with thoracolumbar vertebra fusion. A case–control study. Medicine (Baltimore). 2017;96(38):e8099.

    Article  PubMed  Google Scholar 

  44. Menon KV, Pillay HM, Anbuselvam M, Tahasildar N, Renjit KJ. Post-operative shoulder imbalance in adolescent idiopathic scoliosis: a study of clinical photographs. Scoliosis. 2015;10:31.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Todd SR, Marshall GT, Tyroch AH. Acute gastric dilatation revisited. Am Surg. 2000;66(8):709–10.

    Article  CAS  PubMed  Google Scholar 

  46. Burks FN, Santucci RA. Management of iatrogenic ureteral injury. Ther Adv Urol. 2014;6(3):115–24.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ashok Ramakrishnan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ramakrishnan, A. (2023). Spinal Deformity Surgery in Children and Its Complications. In: Zacharia, B., Raja, S.D.C., KV, N. (eds) Paediatric Scoliosis . Springer, Singapore. https://doi.org/10.1007/978-981-99-3017-3_43

Download citation

  • DOI: https://doi.org/10.1007/978-981-99-3017-3_43

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-99-3016-6

  • Online ISBN: 978-981-99-3017-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics