Evaluating Trends and Outcomes of Spinal Deformity Surgery in Cerebral Palsy Patients
| Autor: | David N. Bernstein, Paul T. Rubery, Emmanuel N. Menga, Sekinat K. Mccormick, Addisu Mesfin, Caroline P. Thirukumaran |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
education.field_of_study medicine.medical_specialty Complications Multivariate analysis business.industry medicine.medical_treatment Population Scoliosis Logistic regression medicine.disease Cerebral palsy Surgery 03 medical and health sciences 0302 clinical medicine Spinal fusion Spinal deformity Medicine Orthopedics and Sports Medicine business Complication education 030217 neurology & neurosurgery |
| Zdroj: | Int J Spine Surg |
| ISSN: | 2211-4599 |
| DOI: | 10.14444/7050 |
| Popis: | BACKGROUND: There is a paucity of literature examining surgical trends and outcomes in both child and adult cerebral palsy (CP) patients. We aimed to evaluate surgical trends, complications, length of stay, and charges for spinal deformity surgery in CP patients. METHODS: Using the Nationwide Inpatient Sample (NIS) from 2001 to 2013, patients with CP scoliosis who underwent spinal fusion surgery were identified. Patient characteristics and comorbidities were recorded. Trends in spinal fusion approaches were grouped as anterior (ASF), posterior (PSF), or combined anterior-posterior (ASF/PSF). Complication rates, length of stay, and charges for each approach were analyzed. Bivariate analyses using adjusted Wald tests and multivariate analyses using linear (logarithmic transformation) and logistic regressions were performed. RESULTS: Of the 5191 adult CP patients who underwent spinal fusion the majority underwent PSF (86.5%), followed by the ASF/PSF approach (9.3%). The rate of PSF for cerebral palsy patients with spinal deformity increased significantly per 1 million people in the US population (0.90 to 1.30; P = .048). Complication rate, hospital length of stay, and charges were higher for patients undergoing ASF/PSF (P |
| Databáze: | OpenAIRE |
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