Unplanned surgery of congenital scoliosis

• Published in: Chinese medical journal Vol. 135; no. 3; pp. 374 - 376
• Main Authors: Yang, Huiliang, Im, Gihye, Zhu, Ce, Osorio, Camilo, Masood, Umar, Zhou, Chunguang, Yang, Xi, Liu, Limin, Song, Yueming
• Format: Journal Article
• Language: English
• Published: China Lippincott Williams & Wilkins Ovid Technologies 05.02.2022; Lippincott Williams & Wilkins; Wolters Kluwer
• Subjects: Correspondence; Electronic health records; Hospitals; Humans; Medical errors; Medical records; Pain; Patients; Reoperation; Retrospective Studies; Scoliosis; Scoliosis - surgery; Skin & tissue grafts; Spinal Fusion; Surgery; Transplants & implants; Treatment Outcome; Vertebrae; China
• ISSN: 0366-6999; 2542-5641
• DOI: 10.1097/CM9.0000000000001786

Of these, 28 patients had their original surgeries at our hospital, and 5 patients had their original surgeries at other hospitals. [...]the unplanned surgery rate for CS at our institution was 9% (28/312). Implant removal is primarily performed due to late surgical-site pain or discomfort from implants, implant breakage, or patient's request. The recurrence of spinal deformity could possibly be due to the nature of growing children or incomplete circumferential fusion after the original surgery. [...]implant removal in growing patients should be avoided unless it is absolutely necessary. Implant failure can result from the lack of complete resection of the malformed hemivertebra or the lack of bone graft, the use of improper fixation instruments, and the improper selection of fixation and fusion segments.