Complications in adolescent idiopathic scoliosis surgery. Review

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Abstract

To days debates about most frequent complications after adolescent idiopathic surgery and its risk factors remains to persist. Taking into account rising possibilities of orthopaedic surgery departments worldwide to reduce AIS patients’ hospital length of stay, strong need in strict knowledge about types and frequency of abovementioned complications and its risk factors is emerging. This knowledge can help clinicians in prediction of complications development and can aid in better diagnostics and treatment. Two main groups of complications were described thoroughly in current review: non-neurologic and neurologic. Both frequently developing and rare complications were described including superior mesenteric artery syndrome and deep infections.

There an obvious tendency of the rate of complications after AIS surgery to decline during last two decades from 5.7% in 2000–2003 to 4.95% in 2007 and to 0.98% in 2016. Despite that fact these complications still remain to be a big burden for clinicians. Major risk factors for its development include concomitant renal diseases, large intraoperative blood loss, substantial increase of anesthesia and surgery duration, stainless steel rods implementation combined or anterior only approach and refuse of intraoperative neuromonitoring.

About the authors

Vladimir V. Koroteev

Filatov Municipal Children Hospital Moscow Department of Healthcare

Email: 9263889457@mail.ru
ORCID iD: 0000-0003-4502-1465

MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist

Russian Federation, Moscow

Vladimir M. Krestyashin

Filatov Municipal Children Hospital Moscow Department of Healthcare; Pirogov Russian National Research Medical University

Email: dgkb13@gmail.com
ORCID iD: 0000-0003-3118-9566
SPIN-code: 8845-9946

MD, PhD, Dr. Sci. (Med.), professor, traumatologist-orthopedist

Russian Federation, Moscow; 1 Ostrovitianova str., 117997, Moscow

Dmitry Yu. Vybornov

Filatov Municipal Children Hospital Moscow Department of Healthcare; Pirogov Russian National Research Medical University

Email: dgkb13@gmail.com
ORCID iD: 0000-0001-8785-7725
SPIN-code: 2660-5048

MD, PhD, Dr. Sci. (Med.), professor, traumatologist-orthopedist

Russian Federation, Moscow; 1 Ostrovitianova str., 117997, Moscow

Nikolay I. Tarasov

Filatov Municipal Children Hospital Moscow Department of Healthcare

Email: dru4elos@gmail.com
ORCID iD: 0000-0002-9303-2372
SPIN-code: 5934-3400

MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist

Russian Federation, Moscow

Andrey V. Semenov

Pirogov Russian National Research Medical University

Author for correspondence.
Email: dru4elos@gmail.com
ORCID iD: 0000-0001-6858-4127

postgraduate student, traumatologist-orthopedist

Russian Federation, 1 Ostrovitianova str., 117997, Moscow

Polina A. Gorelova

Pirogov Russian National Research Medical University

Email: dru4elos@gmail.com
ORCID iD: 0000-0003-0354-2123

resident

Russian Federation, 1 Ostrovitianova str., 117997, Moscow

Natalya A. Karlova

Pirogov Russian National Research Medical University

Email: dru4elos@gmail.com
ORCID iD: 0000-0001-5917-2024

resident

Russian Federation, 1 Ostrovitianova str., 117997, Moscow

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