Experience in Perioperative Management of Patients Undergoing Posterior Spine Fusion for Neuromuscular Scoliosis
| Autor: | Sébastien Pesenti, Emilie Peltier, Jean-Luc Jouve, Benjamin Blondel, Stéphane Fuentes, Gérard Bollini, Franck Launay, Elke Viehweger |
|---|---|
| Přispěvatelé: | Hôpital de la Timone [CHU - APHM] (TIMONE), Institut des Sciences du Mouvement Etienne Jules Marey (ISM), Centre National de la Recherche Scientifique (CNRS)-Aix Marseille Université (AMU), Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS) |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Article Subject Adolescent [SDV]Life Sciences [q-bio] Radiography medicine.medical_treatment lcsh:Medicine Scoliosis Perioperative Care General Biochemistry Genetics and Molecular Biology Cerebral palsy 03 medical and health sciences 0302 clinical medicine medicine Humans Muscular dystrophy Child 10. No inequality Retrospective Studies 030222 orthopedics General Immunology and Microbiology Perioperative management business.industry lcsh:R Retrospective cohort study Neuromuscular Diseases General Medicine medicine.disease 3. Good health Surgery Spinal Fusion Spinal fusion Pelvic fracture Female business 030217 neurology & neurosurgery Research Article Follow-Up Studies |
| Zdroj: | BioMed Research International BioMed Research International, Hindawi Publishing Corporation, 2016, 2016, 3053056 (7 p.). ⟨10.1155/2016/3053056⟩ BioMed Research International, Vol 2016 (2016) BioMed Research International, 2016, 2016, 3053056 (7 p.). ⟨10.1155/2016/3053056⟩ |
| ISSN: | 2314-6141 2314-6133 |
| Popis: | International audience; The objective of this investigation was to determine the outcome of spine fusion for neuromuscular (NM) scoliosis, using Unit Rod technique, with emphasis on complications related to preoperative general health. Between 1997 and 2007, 96 consecutive patients with neuromuscular scoliosis operated on with Unit Rod instrumentation were retrospectively reviewed. The inclusion criteria were diagnosis of NM scoliosis due to cerebral palsy (CP) and muscular dystrophy (DMD). Patient's preoperative general health, weight, and nutrition were collected. Different radiographic and clinical parameters were evaluated. There were 66 CP patients (59 nonwalking) and 30 DMD patients (24 nonwalking). Mean age at surgery was 16.5 years and 13.9 years, respectively. All radiographic measurements improved significantly. Wound infection rate was 16.7% (11% of reoperation rate in CP; 10% in DMD; 3 hardware removal cases). No pelvic fracture due to rod irritation was observed. Unit Rod technique provides good radiographic and clinical outcomes even if this surgery is associated with a high complication rate. It is a quick, simple, and reliable technique. Perioperative management strategy should decrease postoperative complications and increases outcome. A standardized preoperative patient evaluation and preparation including respiratory capacity and nutritional, digestive, and musculoskeletal status are mandatory prior to surgery. |
| Databáze: | OpenAIRE |
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