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Complication Types and Rates in Pediatric Cervical Spine Surgery

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The Management of Disorders of the Child’s Cervical Spine

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Abstract

Arthrodesis of the cervical spine is performed in children for various abnormalities such as spinal instability, congenital malformations, and trauma. Complications may be related to the individual patient’s abnormalities or the surgery itself. Complication rates also vary with surgical approach and method of instrumentation. The complication types, rates, and management options are discussed in this chapter. Knowledge of these issues may help surgeons to anticipate and manage them effectively.

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References

  1. Koop SE, Winter RB, Lonstein JE. The surgical treatment of instability of the upper part of the cervical spine in children and adolescents. J Bone Joint Surg Am. 1984;66(3):403–11.

    Article  CAS  PubMed  Google Scholar 

  2. Southwick WO, Robinson RA. Recent advances in surgery of the cervical spine. Surg Clin North Am. 1961;41:1661–83.

    Article  CAS  PubMed  Google Scholar 

  3. Hwang SW, Gressot LV, Rangel-Castilla L, Whitehead WE, Curry DJ, Bollo RJ, et al. Outcomes of instrumented fusion in the pediatric cervical spine. J Neurosurg Spine. 2012;17(5):397–409.

    Article  PubMed  Google Scholar 

  4. Wills BPD, Dormans JP. Nontraumatic upper cervical spine instability in children. J Am Acad Orthop Surg. 2006;14(4):233–45.

    Article  PubMed  Google Scholar 

  5. Dormans JP, Drummond DS, Sutton LN, Ecker ML, Kopacz KJ. Occipitocervical arthrodesis in children. A new technique and analysis of results. J Bone Joint Surg Am. 1995;77(8):1234–40.

    Article  CAS  PubMed  Google Scholar 

  6. Elliott RE, Tanweer O, Boah A, Morsi A, Ma T, Smith ML, et al. Atlantoaxial fusion with screw-rod constructs: meta-analysis and review of literature. World Neurosurg. 2012. Epub ahead of print, Mar 31. https://doi.org/10.1016/j.wneu.2012.03.013.

  7. Anakwenze OA, Auerbach JD, Buck DW, Garg S, Simon SL, Sutton LN, et al. The role of concurrent fusion to prevent spinal deformity after intramedullary spinal cord tumor excision in children. J Pediatr Orthop. 2011;31(5):475–9.

    Article  PubMed  Google Scholar 

  8. Liu V, Gillis C, Cochrane D, Singhal A, Steinbok P. CSF complications following intradural spinal surgeries in children. Childs Nerv Syst. 2013. Epub ahead of print, Sep 7. https://doi.org/10.1007/s00381-013-2276-4.

  9. Dunbar MJ, Richardson G. Minimizing infection risk: fortune favors the prepared mind. Orthopedics. 2011;34(9):e467–9.

    PubMed  Google Scholar 

  10. Lavernia CJ, Sierra RJ, Baerga L. Nutritional parameters and short term outcome in arthroplasty. J Am Coll Nutr. 1999;18(3):274–8.

    Article  CAS  PubMed  Google Scholar 

  11. Dormans JP, Criscitiello AA, Drummond DS, Davidson RS. Complications in children managed with immobilization in a halo vest. J Bone Joint Surg Am. 1995;77(9):1370–3.

    Article  CAS  PubMed  Google Scholar 

  12. Limpaphayom N, Skaggs DL, McComb G, Krieger M, Tolo VT. Complications of halo use in children. Spine (Phila Pa 1976). 2009;34(8):779–84.

    Article  Google Scholar 

  13. Cahill PJ, Warnick DE, Lee MJ, Gaughan J, Vogel LE, Hammerberg KW, et al. Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a single institution. Spine (Phila Pa 1976). 2010;35(12):1211–7.

    Article  Google Scholar 

  14. Vicario C, de Juan J, Esclarin A, Alcobendas M. Treatment of deep wound infections after spinal fusion with a vacuum-assisted device in patients with spinal cord injury. Acta Orthop Belg. 2007;73(1):102–6.

    PubMed  Google Scholar 

  15. Hankinson TC, Avellino AM, Harter D, Jea A, Lew S, Pincus D, et al. Equivalence of fusion rates after rigid internal fixation of the occiput to C-2 with or without C-1 instrumentation. J Neurosurg Pediatr. 2010;5(4):380–4.

    Article  PubMed  Google Scholar 

  16. Segal LS, Drummond DS, Zanotti RM, Ecker ML, Mubarak SJ. Complications of posterior arthrodesis of the cervical spine in patients who have down syndrome. J Bone Joint Surg Am. 1991;73(10):1547–54.

    Article  CAS  PubMed  Google Scholar 

  17. Winegar CD, Lawrence JP, Friel BC, Fernandez C, Hong J, Maltenfort M, et al. A systematic review of occipital cervical fusion: techniques and outcomes. J Neurosurg Spine. 2010;13(1):5–16.

    Article  PubMed  Google Scholar 

  18. Vale FL, Burns J, Jackson AB, Hadley MN. Combined medical and surgical treatment after acute spinal cord injury: results of a prospective pilot study to assess the merits of aggressive medical resuscitation and blood pressure management. J Neurosurg. 1997;87(2):239–46.

    Article  CAS  PubMed  Google Scholar 

  19. Stabler CL, Eismont FJ, Brown MD, Green BA, Malinin TI. Failure of posterior cervical fusions using cadaveric bone graft in children. J Bone Joint Surg Am. 1985;67:371–5.

    Article  CAS  PubMed  Google Scholar 

  20. McGirt MJ, Chaichana KL, Atiba A, Bydon A, Witham TF, Yao KC, et al. Incidence of spinal deformity after resection of intramedullary spinal cord tumors in children who underwent laminectomy compared with laminoplasty. J Neurosurg Pediatr. 2008;1(1):57–62.

    Article  PubMed  Google Scholar 

  21. Kim YJ, Bridwell KH, Lenke LG, Kim J, Cho SK. Proximal junctional kyphosis in adolescent idiopathic scoliosis following segmental posterior spinal instrumentation and fusion: minimum 5-year follow-up. Spine (Phila Pa 1976). 2005;30(18):2045–50.

    Article  Google Scholar 

  22. Lee MJ, Dettori JR, Standaert CJ, Ely CG, Chapman JR. Indication for spinal fusion and the risk of adjacent segment pathology: does reason for fusion affect risk? A systematic review. Spine (Phila Pa 1976). 2012;37(22 Suppl):S40–51.

    Article  Google Scholar 

  23. Helgeson MD, Bevevino AJ, Hilibrand AS. Update on the evidence for adjacent segment degeneration and disease. Spine J. 2013;13(3):342–51.

    Article  PubMed  Google Scholar 

  24. McGrory BJ, Klassen RA. Arthrodesis of the cervical spine for fractures and dislocations in children and adolescents. A long-term follow-up study. J Bone Joint Surg Am. 1994;76:1606–16.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopedics Surgery, The Johns Hopkins University, Baltimore, MD, USA

    Urvij M. Modhia

  2. Division of Pediatric Orthopedics, Johns Hopkins Medical Institute, Bloomburg Children’s Center, Baltimore, MD, USA

    Paul D. Sponseller

Authors
  1. Urvij M. Modhia
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  2. Paul D. Sponseller
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Correspondence to Paul D. Sponseller .

Editor information

Editors and Affiliations

  1. Harvard Medical School, Boston, Massachusetts, USA

    Daniel J. Hedequist

  2. Nemours/Alfred I. DuPont Hospital for Children, Wilmington, Delaware, USA

    Suken A. Shah

  3. Rady’s Children’s Hospital Associate, San Diego, California, USA

    Burt Yaszay

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Modhia, U.M., Sponseller, P.D. (2018). Complication Types and Rates in Pediatric Cervical Spine Surgery. In: Hedequist, D., Shah, S., Yaszay, B. (eds) The Management of Disorders of the Child’s Cervical Spine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4939-7491-7_22

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  • DOI: https://doi.org/10.1007/978-1-4939-7491-7_22

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4939-7489-4

  • Online ISBN: 978-1-4939-7491-7

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