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

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.