EPIDEMIOLOGICAL PROFILE AND OUTCOMES IN POSTOPERATIVE NEUROMUSCULAR ESCOLIOSIS

Author:

ROSA FABIANA FLAVIA DA SILVA1ORCID,MENDOZA MÁRCIA ALMEIDA LIMA1ORCID,PONTIN JOSÉ CARLOS BALDOCCHI1ORCID

Affiliation:

1. Hospital AACD, Brazil

Abstract

ABSTRACT Objective To outline the epidemiological profile and identify the hospital outcomes of patients submitted to neuromuscular scoliosis correction surgery. Methods This was a descriptive study that included 50 patients hospitalized following surgery for neuromuscular scoliosis in a tertiary-level hospital in São Paulo from January 2017 to July 2017. The variables were collected retrospectively from the patients’ medical records: age, sex, main diagnosis, length of hospital stay, duration of surgery, hospital complications, and mobility. Results Surgeries were performed in boys and girls in similar proportions, adolescents, many with cerebral palsy (42%), with mean hospital stay of 10.8 days. Fifty-two percent presented some complication, such as constipation. Infection of the surgical site was present in 12% of the sample. Forty-two percent had moderate to intense pain and only 2% did not achieve the proposed mobility goals. Conclusion We observed that the epidemiological profile presented data consistent with the scarce literature available, while the definitions of complications, incidence, and hospital outcomes available in the literature were varied quite a bit from the findings in this study. Level of evidence III; Retrospective study.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology (clinical),Orthopedics and Sports Medicine,Surgery

Reference20 articles.

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3. Spinal fusion and instrumentation for paediatric neuromuscular scoliosis: retrospective review;Thacker M;J Orthop Surg,2002

4. Interobserver and intraobserver reliability of Cobb angle measurement: endplate versus pedicle as bony landmarks for measurement: a statistical analysis;Mehta SS;J Pediatr Orthop,2009

5. Ortopedia pediátrica;Newton PO,2005

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