Outcome of revision surgery in pediatric spine deformity patients

Mitsuru Yagi, Akilah B. King, Han Jo Kim, Matthew E. Cunningham, Oheneba Boachie-Adjei

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Study Design: Retrospective case series. Objectives: To report the complications and outcomes of pediatric revision spine surgery and review the surgical indications and treatment methods. Background Summary: Recent reports have shown the necessity of revision spine surgery for pediatric deformities. Many reports have shown the result of revision surgery for pediatric spinal deformity. Materials and Methods: We conducted a retrospective review of 638 patients with pediatric spinal deformity who were treated with surgery from 1996 to 2007. We identified 50 patients who underwent revision spinal fusion surgery with a minimum of 3 years of follow-up. Results: Mean follow-up was 4 years (range, 3-8.3 years). The diagnosis at index surgery was idiopathic scoliosis in 18 patients, congenital scoliosis in 13, neuromuscular scoliosis in 13, tumor and spinal arteriovenous malformation in 4, burst fracture in thoracic spine in 1, and Scheuermann kyphosis in 1. The primary surgeries were 1 hemi epiphysiodesis, 3 anterior spinal fusions, 4 posterior decompressions, 8 combined anterior and posterior spinal fusions, and 34 posterior spinal fusions. A total of 16 patients had pseudarthrosis, 12 decompensation, 11 progressive kyphosis, 8 crankshaft phenomenon, 2 infections, and 1 junctional degeneration. All 50 reoperations included spinal instrumentation and fusion. The revision surgeries were 2 anterior spinal fusions, 14 posterior fusions, and 34 combined anterior and posterior spinal fusions. Spine arthrodesis was obtained in 98% of patients (49 of 50) and complications occurred in 14% of patients (7 of 50). The Scoliosis Research Society Patient Questionnaire outcomes at the latest follow-up were as follows: total 3.95, function 3.88, pain 3.83, self-image 3.98, and mental health 4.04. Conclusion: Pseudarthrosis was the most common indication for revision surgery, and bony union was achieved in 98% with revision surgery. Despite the complications, pediatric revision spine surgery can achieve successful outcomes.

Original languageEnglish
Pages (from-to)59-67
Number of pages9
JournalSpine Deformity
Volume1
Issue number1
DOIs
Publication statusPublished - 2013
Externally publishedYes

Fingerprint

Spinal Fusion
Reoperation
Spine
Pediatrics
Scoliosis
Pseudarthrosis
Scheuermann Disease
Kyphosis
Arthrodesis
Arteriovenous Malformations
Decompression
Mental Health
Thorax
Retrospective Studies
Pain
Infection
Research

Keywords

  • Complication
  • Crankshaft
  • Deformity
  • Revision surgery
  • Scoliosis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Yagi, M., King, A. B., Kim, H. J., Cunningham, M. E., & Boachie-Adjei, O. (2013). Outcome of revision surgery in pediatric spine deformity patients. Spine Deformity, 1(1), 59-67. https://doi.org/10.1016/j.jspd.2012.10.002

Outcome of revision surgery in pediatric spine deformity patients. / Yagi, Mitsuru; King, Akilah B.; Kim, Han Jo; Cunningham, Matthew E.; Boachie-Adjei, Oheneba.

In: Spine Deformity, Vol. 1, No. 1, 2013, p. 59-67.

Research output: Contribution to journalArticle

Yagi, M, King, AB, Kim, HJ, Cunningham, ME & Boachie-Adjei, O 2013, 'Outcome of revision surgery in pediatric spine deformity patients', Spine Deformity, vol. 1, no. 1, pp. 59-67. https://doi.org/10.1016/j.jspd.2012.10.002
Yagi, Mitsuru ; King, Akilah B. ; Kim, Han Jo ; Cunningham, Matthew E. ; Boachie-Adjei, Oheneba. / Outcome of revision surgery in pediatric spine deformity patients. In: Spine Deformity. 2013 ; Vol. 1, No. 1. pp. 59-67.
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