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Curr Rev Musculoskelet Med. 2016 Dec;9(4):462-469. doi: 10.1007/s12178-016-9372-5.

Complications following spine fusion for adolescent idiopathic scoliosis.

Current reviews in musculoskeletal medicine

Robert F Murphy, James F Mooney

Affiliations

  1. Medical University of South Carolina, 96 Jonathan Lucas St, CSB 708, Charleston, SC, 29425, USA. [email protected].
  2. Medical University of South Carolina, 96 Jonathan Lucas St, CSB 708, Charleston, SC, 29425, USA.

PMID: 27639726 PMCID: PMC5127952 DOI: 10.1007/s12178-016-9372-5

Abstract

Complications following spine fusion for adolescent idiopathic scoliosis can be characterized as either intra-operative or post-operative. The most serious and feared complication is neurologic injury, both in the intra- and post-operative period. Other intra-operative complications include dural tears and ophthalmologic or peripheral nerve deficits, which may be related to positioning. Among the most common post-operative complications are surgical site infection, venous thromboembolism, gastrointestinal complications, and implant-related complications. Significant blood loss requiring transfusion, traditionally considered a known sequelae of spine fusion, is now being recognized as a "complication" in large national databases. Pediatric spine surgeons who care for patients with AIS must be thoroughly familiar with all potential complications and their management.

Keywords: Adolescent idiopathic scoliosis; Blood transfusion; Complication; Fusion; Neurologic deficit; Surgical site infection

Conflict of interest statement

Compliance with ethics guidelines Conflict of interest Robert F. Murphy and James F. Mooney III declare that they have no conflicts of interest. Human and animal rights and informed consent This artic

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