Pathology

Comparison of One-Stage Versus Two-Stage Anterior-Posterior Spinal Fusion in Pediatric Patients with Cerebral Palsy and Neuromuscular Scoliosis

Athanasios I. Tsirikos, M.D.
Alfred I. du Pont Hospital for Children
Wilmington, DE
Wei-Ning Chang, M.D.
Alfred I. du Pont Hospital for Children
Wilmington, DE
Kirk W. Dabney, M.D.
Alfred I. du Pont Hospital for Children
Wilmington, DE
Freeman Miller, M.D.
Alfred I. du Pont Hospital for Children
Wilmington, DE
Exhibit from the SRS 2002 Annual Meeting
We evaluated 45 patients with spastic quadriplegia who underwent anterior-posterior spinal fusion, 30 in one stage and 15 in two stages. There was no statistically significant difference in the age at surgery, the preoperative scoliosis angle, pelvic obliquity, kyphosis angle, lordosis angle, the levels of anterior decompression, the % scoliosis correction, the radiographic followup, the hospitalization and ICU stay. In one-stage procedures the blood volumes lost intraoperatively and the surgical time were significantly increased (p<.01, p<.05). The complications both medical and technical were also considerably increased when the procedures were performed in the same day, including two perioperative deaths.
Last Updated: 04/26/2005
What is This?
Related Articles on SpineUniverse
To help you navigate through this wealth of information, the Editorial Board of SpineUniverse presents links to "Related Articles" at the end of each article . In addition, to help you find additional information you need, we encourage you to use the "Search" tool located at the top of each page.

Related Articles on this Topic