Musculoskeletal Issues in Children and Adolescents: Adolescent Idiopathic Scoliosis.

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Abstract

[Indexed for MEDLINE] 18. 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. Murphy RF(1), Mooney JF 3rd(2). Author information: (1)Medical University of South Carolina, 96 Jonathan Lucas St, CSB 708, Charleston, SC, 29425, USA. murphyr@musc.edu. (2)Medical University of South Carolina, 96 Jonathan Lucas St, CSB 708, Charleston, SC, 29425, USA. 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. DOI: 10.1007/s12178-016-9372-5 PMCID: PMC5127952