Unplanned surgery of congenital scoliosis  

作　　者：Huiliang Yang Gihye Im Ce Zhu Camilo Osorio Umar Masood Chunguang Zhou Xi Yang Limin Liu Yueming Song 

机构地区：[1]Department of Orthopedics,Orthopedic Research Institute,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China [2]Department of Emergency Medicine,Rhode Island Hospital,Warren Alpert Medical School of Brown University,Providence,RI 02903,USA [3]Department of Orthopedics,Rhode Island Hospital,Warren Alpert Medical School of Brown University,Providence,RI 02903,USA

出　　处：《Chinese Medical Journal》2022年第3期374-376,共3页中华医学杂志（英文版）

基　　金：This work was supported by grants from the China Postdoctoral Science Foundation General Program(No.2019M653417);Sichuan Science and Technology Program(No.2020YJ0025);Post-Doctor Research Project,Sichuan University(No.2019SCU12043);International Postdoctoral Exchange Fellowship Program(No.PC2019060)。

摘　　要：To the Editor:There is a high probability of requiring unplanned surgery for congenital scoliosis(CS),but very few publications have reported the proportion of unplanned surgeries,the causes of those unplanned surgeries,and the prevalence of each cause.This study aimed to provide more information regarding the above.We reviewed the electronic medical records of patients with CS that underwent unplanned surgeries at our hospital from 2009 to 2018.By searching the database of West China Hospital,we found 317 CS cases.Of these,33 cases underwent unplanned surgeries,of which five had their primary surgeries at outside hospitals.The unplanned surgery rate in our case series was 9.0%(28/312).In our case series,the most common cause of unplanned surgery for patients with CS was progressive deformity(49%,16/33),followed by implant-related complications(36%,12/33),wound-related complications(12%,4/33),and surgical error-related complications(cerebrospinal fluid[CSF]leak,3%,1/33).The most common reason for unplanned surgery in CS was progressive spinal deformity or imbalance,which accounted for 49%(16/33)of the unplanned surgeries.

关 键 词：SURGERY CONGENITAL WOUND 

分 类 号：R687.3[医药卫生—骨科学]