Superior mesenteric artery syndrome following spine surgery in idiopathic adolescent scoliosis: a systematic review.

Autor: Pappalardo G; Department of Spine Surgery, Oberlinhaus, 14482, Potsdam, Germany., Pola E; Orthopaedics and Traumatology Division, Multidisciplinary Department of Medical-Surgical and Dental Specialities, University of Campania 'Luigi Vanvitelli' School of Medicine, 80138, Naples, Italy., Bertini FA; Department of Orthopaedic and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), 39100, Bolzano, Italy., Nasto LA; Orthopaedics and Traumatology Division, Multidisciplinary Department of Medical-Surgical and Dental Specialities, University of Campania 'Luigi Vanvitelli' School of Medicine, 80138, Naples, Italy., Eschweiler J; Department of Orthopaedic, Trauma, and Reconstructive Surgery, BG Hospital Bergmannstrost Halle, Halle, Germany.; Martin Luther University Halle-Wittenberg, Halle, Germany., Schäfer L; Department of Orthopaedic and Trauma Surgery, Eifelklinik St.Brigida, 52152, Simmerath, Germany., Migliorini F; Department of Orthopaedic and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), 39100, Bolzano, Italy. migliorini.md@gmail.com.; Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany. migliorini.md@gmail.com.; Department of Life Sciences, Health, and Health Professions, Link Campus University, Rome, Italy. migliorini.md@gmail.com.
Jazyk: angličtina
Zdroj: European journal of medical research [Eur J Med Res] 2024 Aug 08; Vol. 29 (1), pp. 410. Date of Electronic Publication: 2024 Aug 08.
DOI: 10.1186/s40001-024-02002-3
Abstrakt: Superior mesenteric artery syndrome (SMAS) is a rare and unpredictable complication after correction spine surgery for adolescent idiopathic scoliosis (AIS). The management of this condition is poorly investigated, with controversial outcomes. This investigation systematically reviewed current evidence on pathogenesis, risk factors, management, and outcomes of SMAS following correction spine surgery for AIS. The present systematic review was conducted according to the 2020 PRISMA statement. All the included investigations reported SMAS presentation following scoliosis correction surgery in AIS. 29 articles with 61 eligible patients were included in this review. The mean age of the patients was 15.8 ± 7.2 years. The mean weight was 45.3 ± 8.0 kg, the mean height 159.6 ± 13.6 cm, and the mean BMI 16.5 ± 2.9 kg/m 2 . The mean duration of the treatment for SMAS was 21.6 ± 10.3 days. The mean interval between spine surgery and symptoms of SAMS was 69 days, with high between-studies variability (3 days to 4 years). Prompt identification of risk factors and an early diagnosis are necessary to manage SMAS and reduce the risk of complications. Additional investigations are required to establish risk factors and diagnostic criteria.Level of evidence Level IV, systematic review.
(© 2024. The Author(s).)
Databáze: MEDLINE
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