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Erschienen in: European Journal of Orthopaedic Surgery & Traumatology 4/2020

01.05.2020 | Original Article

Incidence of complications in the management of non-ambulatory neuromuscular early-onset scoliosis with a rib-based growing system: high- versus low-tone patients

verfasst von: Norman Ramirez, Gerardo Olivella, Omar Rodriguez, Pablo Marrero, John Smith, Sumeet Garg, Michael Vitale, Tricia St. Hilaire, Randal Betz

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 4/2020

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Abstract

Purpose

The purpose of this study is to evaluate whether patients with high-tone neuromuscular early-onset scoliosis have different surgical outcome and complication rate, when compared to patients with low-tone neuromuscular early-onset scoliosis treated with a rib-to-pelvis rib-based dual growing system.

Methods

This is a retrospective cohort study of 67 neuromuscular early-onset scoliosis patients, collected from a multicenter database, treated with a rib-to-pelvis rib-based dual growing system. All patients were divided into two groups: high tone and low tone. Pre-, intra- and postoperative data were compared between both groups. Complications were reported by a standardized system.

Results

Twenty-six high-tone and 41 low-tone patients were found homogeneous regarding gender, age at surgery, weight, height, estimated blood loss and surgery time. High-tone group (19/26 = 73.1%) experiences more postoperative complications than low-tone group (22/41 = 53.7%). Most common complications were infection, device migration, death and hardware failure. Permanent abandonment of rib-based growing technique and device removal was required in 21% of high-tone patients (P < 0.001). None of the low-tone patients required abandonment.

Conclusion

High-tone patients had more complications than those with low tone in management of neuromuscular early-onset scoliosis treated with a rib-to-pelvis rib-based dual growing system. A different surgical approach may be required to treat the high-tone neuromuscular early-onset scoliosis.
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Metadaten
Titel
Incidence of complications in the management of non-ambulatory neuromuscular early-onset scoliosis with a rib-based growing system: high- versus low-tone patients
verfasst von
Norman Ramirez
Gerardo Olivella
Omar Rodriguez
Pablo Marrero
John Smith
Sumeet Garg
Michael Vitale
Tricia St. Hilaire
Randal Betz
Publikationsdatum
01.05.2020
Verlag
Springer Paris
Erschienen in
European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 4/2020
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-019-02614-0

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