Akademik Veri Yönetim Sistemi
Journal of Neurological Sciences, cilt.28, sa.1, ss.35-41, 2011 (SCI-Expanded)
Background: In this study, we aimed to investigate the perioperative complications and factors causing predisposing complications in patients who have undergone scoliosis surgery in our institution. Methods: Retrospective evaluation was performed from the medical records of patients who have undergone scoliosis surgery in our institution between 2000-2009. Age, gender, body weight, comorbidities, Cobb index, scoliosis etiology, duration of the surgery, preoperative and postoperative hemoglobin levels, instrumentation level, the amount of intraoperative and postoperative blood loss, blood transfusion requirements, preoperative pulmonary function tests, arterial blood gas analysis, duration of hospital, ICU stay and mortality rates were evaluated Results: The medical records of 209 patients were evaluated and 15 of them were excluded from the study. 129 female and 65 male patients were diagnosed as congenital (75 patients) or idiopathic (119 patients) scoliosis. The mean age was 16.5±9.2, the Cobb index was 50±18°. The mean duration of hospital stay was 19±15 days, and that of ICU stay was 0.86±1.8 days. Two of 194 patients (1%) died intraoperatively and 1 patient (0.5%) died postoperatively. Postoperative complications were reported in 14 (%6.7) patients and all of these 14 patients had at least one comorbidities. The patients who had complications (n=14) had more coexisting diseases and styaed longer in the hospital when compared with the patients who did not develop any complications (n=180, p<0.001) Conclusion: Preoperative comorbidities are directly related with postoperative complications and causes longer hospital stay after reconstructive scoliosis surgery.