Scoliosis surgery, predictors and outcomes in a tertiary care hospital, Riyadh, KSA
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Background: Scoliosis is a back deformity, defined as structural lateral curvature of spine more than 10° (cobb angle) with rotation. Surgical intervention has better radiographic and clinical outcomes for the patients. However, it’s not indicated in all cases and it’s associated with certain complications. Methods: This is case series study which tracked subjects with scoliosis surgery. We investigated the data of all scoliosis surgery cases in our institution from 2009 to 2016 with internal board review approval. A data collection form was used to extract the data from the charts which included some demographic data such as age, gender, and date of birth, and indication of the procedure were included. Perioperative data such as operative time, blood loss, and perioperative death were estimated. Also, post-operative complications were included. Length of stay in hospital was calculated. Preoperative and postoperative recorded x-rays were interpreted and recorded. All of the reviewed data were coded and expelled into Excel sheet. Statistical package for social sciences (SPSS) version 22 was used for data analysis. Categorical variables were described by frequencies and percentages. Unpaired t-test was used to compare the pre and post-operative outcomes. Results: The mean age for the patients' who underwent the surgery is 17.7 (range, 8-56 years). 39% (32) of the sample is male and 61% (50) is female. The mean blood loss was 482.3 mL (range, 200-2900 mL) with the mean days of stay in hospital was 10 days (range, 4-90 days). The mean operative time was 250 minutes (range, 130-360 minutes). The most common indications for the surgery where neuromuscular scoliosis 36 (43.9%), idiopathic scoliosis 32 (39%). The mean cobb angel was 65° (range, 40°-116°) preoperatively and cobb angel of 16.1° (range, 0-87°) (P<0.001) postoperatively. Conclusion: Scoliosis surgery are effictive method of correcting different types of scolisos and are associated with minimal complications.
Authors and Affiliations
Mohammad Almalki, Ahmed Alanazi, Mohaned Babiker, Mohammed Sambas, Shaker Alshehri, Abdurrahman Alarjani
Keywords
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- EP ID EP480849
- DOI 10.22271/ortho.2017.v3.i4a.09
- Views 166
- Downloads 0
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