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Complications Associated with Surgical Treatment of Pediatric Spondylolisthesis

  • Chapter
Spondylolisthesis

Abstract

This chapter aims at discussing the possible complications after a pediatric patient has undergone surgical intervention for spondylolisthesis. General complications, including surgical site infection and bleeding are included. Specific complications related to the diagnosis of spondylolisthesis are neurologic deficits, pseudoarthrosis, instrumentation failure approach specific complications, and dural tears. The diagnosis, incidence of specific complications, and management strategies are discussed. A review of neuromonitoring is included to help with the identifying impending neurologic deficits.

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References

  1. Kalanithi PS, Patil CG, Boakye M. National complication rates and disposition after posterior lumbar fusion for acquired spondylolisthesis. Spine (Phila Pa 1976). 2009;34:1963–9.

    Article  Google Scholar 

  2. Websters dictionary.

    Google Scholar 

  3. Fu K, Smith J, Polly D, Perra J, Sansur C, Berven S, et al. Morbidity and mortality in the surgical treatment of six hundred five pediatric patients with isthmic or dysplastic spondylolisthesis. Spine (Phila Pa 1976). 2011;36:308–12.

    Article  Google Scholar 

  4. Cahill PJ, Samdani A, Smith J, Finlayson C, Marvil SC, Tantorski ME, Hammerberg K, Asghar J, Betz RR, Sturm PF. Complication rates in pediatric spondylolisthesis surgery: a dual center 16 year retrospective review. Scientific presentation at SRS, 23–26 September 2009.

    Google Scholar 

  5. Coe. SRS morbidity and mortality report. 2003.

    Google Scholar 

  6. Koutsoumbelis S, Hughes AP, Girardi FP, Cammisa FP, Finerty EA, Nguyen JT, Gausden E, Sama AA. Risk factors for postoperative infection following posterior lumbar instrumented arthrodesis. J Bone Joint Surg Am. 2011;93:1627–33.

    Article  PubMed  Google Scholar 

  7. Molinari R, Bridwell K, Lenke L, Ungacta F, Riew D. Complications in the surgical treatment of pediatric high-grade, isthmic dysplastic spondylolisthesis. Spine (Phila Pa 1976). 1999;24:1701–11.

    Article  CAS  Google Scholar 

  8. Vialle R, Charosky S, Padovani JP, Rigault P, Glorion C. Surgical treatment of high grade lumbosacral spondylolisthesis in childhood, adolescent and young adult by the “double-plate” technique: a past experience. Eur Spine J. 2006;15:1210–8.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Hegde V, Meredith DS, Kepler CK, Huang RC. Management of postoperative spinal infections. World J Orthop. 2012;18:182–9.

    Article  Google Scholar 

  10. American Academy of Orthopaedics. Recommendations for the use of intravenous antibiotic prophylaxis in primary total joint arthroplasty. Information Statement 1027. June 2004. www.aaos.org.

  11. Sweet FA, Roh M, Sliva C. Intrawound application of vancomycin for prophylaxis in instrumented thoracolumbar fusions. Spine (Phila Pa 1976). 2011;36:2084–8.

    Article  Google Scholar 

  12. Richards BS, Emara KM. Delayed infections after posterior TSRH spinal instrumentation for idiopathic scoliosis: revisited. Spine (Phila Pa 1976). 2001;26:1990–6.

    Article  CAS  Google Scholar 

  13. Hedequist D, Haugen A, Hresko T, et al. Failure of attempted implant retention in spinal deformity delayed surgical site infections. Spine (Phila PA 1976). 2009;34:60–4.

    Article  Google Scholar 

  14. Kim HJ, Cunningham ME, Boachie-Adjei O. Revision spine surgery to manage pediatric deformity. J Am Acad Orthop Surg. 2010;18:739–48.

    PubMed  Google Scholar 

  15. Glotzbecker MP, Riedel MD, Vitale MG, et al. What’s the evidence? Systematic literature review of risk factors and preventive strategies for surgical site infection following pediatric spine surgery. J Pediatr Orthop. 2013;33:479–87.

    Article  PubMed  Google Scholar 

  16. Chen L, Tang T, Yang H. Complications associated with posterior lumbar interbody fusion using Bagby and Kuslich method for treatment of spondylolisthesis. Chin Med J. 2003;116(1):99–103.

    PubMed  Google Scholar 

  17. Orpen N, Walker G, Fairlie N, Coghill S, Birch N. Avascular necrosis of the femoral head after surgery for lumbar spinal stenosis. Spine (Phila Pa 1976). 2003;28(18):E364–7.

    Article  Google Scholar 

  18. Shufflebarger H, Geck M. High grade isthmicdysplastic spondylolisthesis: monosegmental surgical treatment. Spine (Phila Pa 1976). 2005;30:S42–9.

    Article  Google Scholar 

  19. Hu SS, Bradford DS, Transfeldt EE, Cohen M. Reduction of high grade spondylolisthesis using Edwards instrumentation. Spine (Phila Pa 1976). 1996;21:367–71.

    Article  CAS  Google Scholar 

  20. Smith JS, Saulle D, Chen C, Lenke L, Polly D, Kasliwal M, et al. Rates and causes of mortality associated with spine surgery based on 108,419 procedures. Spine (Phila Pa 1976). 2012;37:1975–82.

    Article  Google Scholar 

  21. Smith JS, Sansur CA, Donaldson 3rd WF, Perra JH, Mudiyam R, Choma TJ, Zeller RD, et al. Short-term morbidity and mortality associated with correction of thoracolumbar fixed sagittal plane deformity: a report from the Scoliosis Research Society Morbidity and Mortality Committee. Spine (Phila Pa 1976). 2011;36:958–64.

    Article  Google Scholar 

  22. Burkus JK, Lonstein JE, Winter RB, Denis F. Long-term evaluation of adolescents treated operatively for spondylolisthesis. A comparison of in situ arthrodesis only with in situ arthrodesis and reduction followed by immobilization in a cast. J Bone Joint Surg. 1992;74:693–704.

    CAS  PubMed  Google Scholar 

  23. Muschik M, Zippel H, Perka C. Surgical management of severe spondylolisthesis in children and adolescents. Anterior fusion in situ versus anterior spondylodesis with posterior transpedicular instrumentation and reduction. Spine (Phila Pa 1976). 1997;22(17):2036–42. discussion 43.

    Article  CAS  Google Scholar 

  24. Newton PO, Johnston 2nd CE. Analysis and treatment of poor outcomes following in situ arthrodesis in adolescent spondylolisthesis. J Pediatr Orthop. 1997;17(6):754–61.

    CAS  PubMed  Google Scholar 

  25. Rodgers SD, Marascalchi BJ, Grobelny BT, Smith ML, Samadani U. Revision surgery after interbody fusion with rhBMP-2: a cautionary tale for spine surgeons. J Neurosurg Spine. 2013;18(6):582–7.

    Article  PubMed  Google Scholar 

  26. Hamilton DK, Smith JS, Sansur CA, Glassman SD, Ames CP, Berven SH, Polly Jr DW, Perra JH, Knapp DR, Boachie-Adjei O, McCarthy RE, Shaffrey CI. Scoliosis Research Society Morbidity and Mortality Committee. Rates of new neurological deficit associated with spine surgery based on 108,419 procedures: a report of the scoliosis research society morbidity and mortality committee. Spine (Phila Pa 1976). 2011;36:1218–28.

    Article  Google Scholar 

  27. Smith J, Deviren V, Berven S, Kleinstueck F, Bradford D. Clinical outcome of trans-sacral interbody fusion after partial reduction for high-grade L5–S1 spondylolisthesis. Spine (Phila Pa 1976). 2001;26:2227–34.

    Article  CAS  Google Scholar 

  28. Reames DL, Smith JS, Fu KM, Polly Jr DW, Ames CP, Berven SH, Perra JH, Glassman SD, McCarthy RE, Knapp Jr RD, Heary R, Shaffrey CI, Scoliosis Research Society Morbidity and Mortality Committee. Complications in the surgical treatment of 19,360 cases of pediatric scoliosis: a review of the Scoliosis Research Society Morbidity and Mortality database. Spine (Phila Pa 1976). 2011;36:1484–91.

    Article  Google Scholar 

  29. Maurice HD, Morley TR. Cauda equina lesions following fusion in situ and decompressive laminectomy for severe spondylolisthesis: four case reports. Spine (Phila Pa 1976). 1989;14:214–6.

    Article  CAS  Google Scholar 

  30. Sailhan F, Gollogly S, Roussouly P. The radiographic results and neurologic complications of instrumented reduction and fusion of high-grade spondylolisthesis without decompression of the neural elements: a retrospective review of 44 patients. Spine (Phila Pa 1976). 2006;31:161–9.

    Article  Google Scholar 

  31. Petraco DM, Spivak JM, Cappadona JG, et al. An anatomic evaluation of L5 nerve stretch in spondylolisthesis reduction. Spine (Phila Pa 1976). 1996;21:1133–8.

    Article  CAS  Google Scholar 

  32. Schoenecker PL, Cole HO, Herring JA, Capelli AM, Bradford DS. Cauda equine syndrome after in situ arthrodesis for severe spondylolisthesis at the lumbosacral junction. J Bone Joint Surg. 1990;72(3):369–77.

    CAS  PubMed  Google Scholar 

  33. Gundanna M, Eskenazi M, Bendo J, Spivak J, Moskovich R. Somatosensory evoked potential monitoring of lumbar pedicle screw placement for in situ posterior spinal fusion. Spine J. 2003;3(5):370–6.

    Article  PubMed  Google Scholar 

  34. McCord DH, Cunningham BW, Shono Y, Meyers JJ, McAfee PC. Biomechanical analysis of lumbosacral fixation. Spine (Phila Pa 1976). 1992;17:235–43.

    Article  Google Scholar 

  35. Laursen M, Thomsen K, Eiskjaer SP, Hansen ES, Bunger CE. Functional outcome after partial reduction and 360 degree fusion in grade III–V spondylolisthesis in adolescent and adult patients. J Spinal Disord. 1999;12(4):300–6.

    Article  CAS  PubMed  Google Scholar 

  36. Frymoyer JW, Wiesel SW. The adult and pediatric spine. Philadelphia: Lippincott Williams and Wilkins Review; 2004. p. 415.

    Google Scholar 

  37. Seitsalo S, Osterman K, Hyvarinen H, Schlenzka D, Poussa M. Severe spondylolisthesis in children and adolescents. A long-term review of fusion in situ. J Bone Joint Surg. 1990;72(2):259–65.

    CAS  Google Scholar 

  38. Bradford DS. Closed reduction of spondylolisthesis: an experience in 22 patients. Spine (Phila Pa 1976). 1988;13:580–7.

    Article  CAS  Google Scholar 

  39. Espiritu M, Rhyne A, Darden B. Dural tears in spinal surgery. J Am Acad Orthop Surg. 2010;18:537–45.

    PubMed  Google Scholar 

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Correspondence to Daniel J. Sucato M.D., M.S. .

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Olszewski, D., Sucato, D.J. (2015). Complications Associated with Surgical Treatment of Pediatric Spondylolisthesis. In: Wollowick, A., Sarwahi, V. (eds) Spondylolisthesis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7575-1_26

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  • DOI: https://doi.org/10.1007/978-1-4899-7575-1_26

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7574-4

  • Online ISBN: 978-1-4899-7575-1

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