Key result
Posterior spinal fusion surgery for neuromuscular scoliosis resulted in an overall perioperative complication rate of 24% and a major complication rate of 6%, with severe preoperative restrictive ventilatory impairment present in all patients who developed major complications.
Observational (n=83)
No
Posterior spinal fusion surgery for neuromuscular scoliosis has a relatively low major complication rate (6%), but patients with severe preoperative restrictive ventilatory impairment are at higher risk for major perioperative complications.
Severe preoperative restrictive ventilatory impairment warrants heightened perioperative caution; this Level 5 case series leaves open the need for prospective validation.
INTRODUCTION: Patients with neuromuscular disorders sometimes show progressive spinal scoliosis. The surgery for neuromuscular scoliosis (NMS) has high rates of complications. In this study, we elucidated the perioperative complications in patients with NMS. METHODS: (%) for pulmonary function, and preoperative ejection fraction (EF) for cardiac function. RESULTS: > 0.05). CONCLUSIONS: Compared with the previous findings of the perioperative complication rate (45%-74%) for NMS, the complication rate was remarkably low in this case series. Because of advances in medical skills, including anesthesia and surgical instruments, surgery for NMS appears to be safe. However, patients with NMS with complications demonstrated severe restrictive ventilatory impairment preoperatively. Therefore, we should be vigilant for perioperative pulmonary complications especially in patients with NMS and preoperative severe restrictive ventilatory impairment.
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Matsumoto et al. (2018) conducted an observational in Neuromuscular scoliosis (n=83). Posterior spinal fusion surgery was evaluated on Overall perioperative complications within 3 months. Posterior spinal fusion surgery for neuromuscular scoliosis resulted in an overall perioperative complication rate of 24% and a major complication rate of 6%, with severe preoperative restrictive ventilatory impairment present in all patients who developed major complications.
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