scholarly journals Instrumentation complication rates following spine surgery: a report from the Scoliosis Research Society (SRS) morbidity and mortality database

2019 ◽  
Vol 5 (1) ◽  
pp. 110-115 ◽  
Author(s):  
Jamal N. Shillingford ◽  
Joseph L. Laratta ◽  
Nana O. Sarpong ◽  
Rami G. Alrabaa ◽  
Meghan K. Cerpa ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Research Society ◽  
Morbidity And Mortality ◽  
Complication Rates ◽  
Scoliosis Research Society

Postoperative Surgical Site Infection After Spine Surgery: An Update From the Scoliosis Research Society (SRS) Morbidity and Mortality Database*

2018 ◽  
Vol 6 (6) ◽  
pp. 634-643 ◽  
Author(s):  
Jamal N. Shillingford ◽  
Joseph L. Laratta ◽  
Hemant Reddy ◽  
Alex Ha ◽  
Ronald A. Lehman ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Spine Surgery ◽  
Research Society ◽  
Morbidity And Mortality ◽  
Site Infection ◽  
Scoliosis Research Society

138. Rates of Infection Following Spine Surgery Based on 108,419 Procedures: A Report from The Scoliosis Research Society Morbidity and Mortality Committee

2009 ◽  
Vol 9 (10) ◽  
pp. 72S ◽  
Author(s):  
Justin Smith ◽  
Christopher Shaffrey ◽  
Charles Sansur ◽  
Sigurd Berven ◽  
Paul Broadstone ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Research Society ◽  
Morbidity And Mortality ◽  
Scoliosis Research Society

Correlation of higher preoperative American Society of Anesthesiology grade and increased morbidity and mortality rates in patients undergoing spine surgery

2011 ◽  
Vol 14 (4) ◽  
pp. 470-474 ◽  
Author(s):  
Kai-Ming G. Fu ◽  
Justin S. Smith ◽  
David W. Polly ◽  
Christopher P. Ames ◽  
Sigurd H. Berven ◽  
...  
Keyword(s):  
Disease Process ◽  
Mortality Rates ◽  
Research Society ◽  
Morbidity And Mortality ◽  
Mortality Data ◽  
Complication Rates ◽  
Physical Status ◽  
Scoliosis Research Society ◽  
Physical Status Classification ◽  
American Society

Object Patients with varied medical comorbidities often present with spinal pathology for which operative intervention is potentially indicated, but few studies have examined risk stratification in determining morbidity and mortality rates associated with the operative treatment of spinal disorders. This study provides an analysis of morbidity and mortality data associated with 22,857 cases reported in the multicenter, multisurgeon Scoliosis Research Society Morbidity and Mortality database stratified by American Society of Anesthesiologists (ASA) physical status classification, a commonly used system to describe preoperative physical status and to predict operative morbidity. Methods The Scoliosis Research Society Morbidity and Mortality database was queried for the year 2007, the year in which ASA data were collected. Inclusion criterion was a reported ASA grade. Cases were categorized by operation type and disease process. Details on the surgical approach and type of instrumentation were recorded. Major perioperative complications and deaths were evaluated. Two large subgroups—patients with adult degenerative lumbar disease and patients with major deformity—were also analyzed separately. Statistical analyses were performed with the chi-square test. Results The population studied comprised 22,857 patients. Spinal disease included degenerative disease (9409 cases), scoliosis (6782 cases), spondylolisthesis (2144 cases), trauma (1314 cases), kyphosis (831 cases), and other (2377 cases). The overall complication rate was 8.4%. Complication rates for ASA Grades 1 through 5 were 5.4%, 9.0%, 14.4%, 20.3%, and 50.0%, respectively (p = 0.001). In patients undergoing surgery for degenerative lumbar diseases and major adult deformity, similarly increasing rates of morbidity were found in higher-grade patients. The mortality rate was also higher in higher-grade patients. The incidence of major complications, including wound infections, hematomas, respiratory problems, and thromboembolic events, was also greater in patients with higher ASA grades. Conclusions Patients with higher ASA grades undergoing spinal surgery had significantly higher rates of morbidity than those with lower ASA grades. Given the common application of the ASA system to surgical patients, this grade may prove helpful for surgical decision making and preoperative counseling with regard to risks of morbidity and mortality.

Complications following surgery for adolescent idiopathic scoliosis over a 13-year period

2020 ◽  
Vol 102-B (4) ◽  
pp. 519-523
Author(s):  
Kenny Y. H. Kwan ◽  
Hui Y. Koh ◽  
Kathleen M. Blanke ◽  
Kenneth M. C. Cheung
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Neurological Deficit ◽  
Complication Rate ◽  
Perioperative Complications ◽  
Research Society ◽  
Morbidity And Mortality ◽  
Complication Rates ◽  
Scoliosis Research Society ◽  
Age At Surgery

Aims The purpose of this study was to evaluate the incidence and analyze the trends of surgeon-reported complications following surgery for adolescent idiopathic scoliosis (AIS) over a 13-year period from the Scoliosis Research Society (SRS) Morbidity and Mortality database. Methods All patients with AIS between ten and 18 years of age, entered into the SRS Morbidity and Mortality database between 2004 and 2016, were analyzed. All perioperative complications were evaluated for correlations with associated factors. Complication trends were analyzed by comparing the cohorts between 2004 to 2007 and 2013 to 2016. Results Between 2004 and 2016, a total of 84,320 patients were entered into the database. There were 1,268 patients associated with complications, giving an overall complication rate of 1.5%. Death occurred in 12 patients (0.014%). The three most commonly reported complications were surgical site infection (SSI) (441 patients; 0.52%), new neurological deficit (293; 0.35%), and implant-related complications (172; 0.20%). There was a statistically significant but weak correlation between the occurrence of a SSI and the magnitude of the primary curve ( r = 0.227; p < 0.001), and blood loss in surgery ( r = 0.111; p = 0.038), while the occurrence of a new neurological deficit was correlated statistically significantly but weakly with age at surgery ( r = 0.147; p = 0.004) and magnitude of the primary curve ( r = 0.258; p < 0.001). The overall complication rate decreased from 4.95% during 2004 to 2007 to 0.98% during 2013 to 2016 (p = 0.023). Conclusion An overall complication rate of 1.5% was found in our series after surgery for AIS, with a reduction of complication rates found in the second period of the analysis. Cite this article: Bone Joint J 2020;102-B(4):519–523.

scholarly journals Neuromuscular scoliosis complication rates from 2004 to 2015: a report from the Scoliosis Research Society Morbidity and Mortality database

2017 ◽  
Vol 43 (4) ◽  
pp. E10 ◽  
Author(s):  
Daniel Cognetti ◽  
Heather M. Keeny ◽  
Amer F. Samdani ◽  
Joshua M. Pahys ◽  
Darrell S. Hanson ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Complication Rate ◽  
Management Practices ◽  
Deformity Correction ◽  
Research Society ◽  
Neuromuscular Scoliosis ◽  
Morbidity And Mortality ◽  
Data Sets ◽  
Complication Rates ◽  
Scoliosis Research Society

OBJECTIVEPostoperative complications are one of the most significant concerns in surgeries of the spine, especially in higher-risk cases such as neuromuscular scoliosis. Neuromuscular scoliosis is a classification of multiple diseases affecting the neuromotor system or musculature of patients leading to severe degrees of spinal deformation, disability, and comorbidity, all likely contributing to higher rates of postoperative complications. The objective of this study was to evaluate deformity correction of patients with neuromuscular scoliosis over a 12-year period (2004–2015) by looking at changes in postsurgical complications and management.METHODSThe authors queried the Scoliosis Research Society (SRS) Morbidity and Mortality (M&M) database for neuromuscular scoliosis cases from 2004 to 2015. The SRS M&M database is an international database with thousands of self-reported cases by fellowship-trained surgeons. The database has previously been validated, but reorganization in 2008 created less-robust data sets from 2008 to 2011. Consequently, the majority of analysis in this report was performed using cohorts that bookend the 12-year period (2004–2007 and 2012–2015). Of the 312 individual fields recorded per patient, demographic analysis was completed for age, sex, diagnosis, and preoperative curvature. Analysis of complications included infection, bleeding, mortality, respiratory, neurological deficit, and management practices.RESULTSFrom 2004 to 2015, a total of 29,019 cases of neuromuscular scoliosis were reported with 1385 complications, equating to a 6.3% complication rate when excluding the less-robust data from 2008 to 2011. This study shows a 3.5-fold decrease in overall complication rates from 2004 to 2015. A closer look at complications shows a significant decrease in wound infections (superficial and deep), respiratory complications, and implant-associated complications. The overall complication rate decreased by approximately 10% from 2004–2007 to 2012–2015.CONCLUSIONSThis study demonstrates a substantial decrease in complication rates from 2004 to 2015 for patients with neuromuscular scoliosis undergoing spine surgery. Decreases in specific complications, such as surgical site infection, allow us to gauge our progress while observing how trends in management affect outcomes. Further study is needed to validate this report, but these results are encouraging, helping to reinforce efforts toward continual improvement in patient care.

Complications Associated with Surgical Treatment of Traumatic Spinal Fractures: A Review of the Scoliosis Research Society Morbidity and Mortality Database

2014 ◽  
Vol 81 (5-6) ◽  
pp. 818-824 ◽  
Author(s):  
Brian J. Williams ◽  
Justin S. Smith ◽  
Dwight Saulle ◽  
Christopher P. Ames ◽  
Lawrence G. Lenke ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Spinal Fractures ◽  
Research Society ◽  
Morbidity And Mortality ◽  
Scoliosis Research Society

Results of the Scoliosis Research Society Morbidity and Mortality Database 2009–2012: A Report From the Morbidity and Mortality Committee

2016 ◽  
Vol 4 (5) ◽  
pp. 338-343 ◽  
Author(s):  
Douglas C. Burton ◽  
Brandon B. Carlson ◽  
Howard M. Place ◽  
Jonathan E. Fuller ◽  
Kathy Blanke ◽  
...  
Keyword(s):  
Research Society ◽  
Morbidity And Mortality ◽  
Scoliosis Research Society

scholarly journals Influence of Insurance Status on Curve Magnitude in Adolescent Idiopathic Scoliosis in Mainland China

2019 ◽  
Vol 10 (6) ◽  
pp. 754-759
Author(s):  
Tao Lin ◽  
Depeng Meng ◽  
Jia Yin ◽  
Zhe Ji ◽  
Wei Shao ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Mainland China ◽  
Research Society ◽  
Pulmonary Complications ◽  
Insurance Status ◽  
Complication Rates ◽  
Corrective Surgery ◽  
Scoliosis Research Society ◽  
Curve Magnitude

Study Design: Retrospective cohort study. Objectives: To determine whether there is an association between insurance status and curve magnitude in idiopathic scoliosis pediatric patients in mainland China. Methods: Medical records of patients with adolescent idiopathic scoliosis in 4 tertiary spine centers across China from January 2013 to December 2017 were analyzed. Data was extracted on insurance status, curve magnitude, recommended treatment at presentation, source of referral, and treatment initiated. Additional information was collected for patients requiring corrective surgery, including time from recommendation for surgery to surgery and clinically relevant parameters such as, postoperative complications, and pre-/postoperative Scoliosis Research Society–22 scores were also collected for patients requiring corrective surgery. Results: Of the 1785 patients included, 1032 were Urban Resident Basic Medical Insurance Scheme (URBMS) insured and 753 were New Rural Cooperative Medical Scheme (NRCMS) insured. NRCMS patients presented with a larger major curve than URBMS patients (32.9° ± 15.1° vs 29.3° ± 12.6°, P = .028). For patients having surgery recommended, NRCMS patients presented with a larger mean Cobb angle at the first presentation (57.7° vs 50.9°, P < .0001) and at time of surgery (61.3° vs 52.2°, P < .0001), and experienced a significantly longer time from surgery recommendation to decision for surgery. Complication rates were comparable between the 2 groups, except for pulmonary complications (NRCMS 7.3% vs URBMS 2.8%, P = .04). Postoperatively, patients covered by NRCMS insurance experienced greater overall improvement in health-related quality of life and were less satisfied with the treatments. Conclusions: This study shows that health insurance may influence the severity of scoliosis on presentation, with implications on early diagnosis and surgery time.

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