FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2969442805> ?p ?o ?g. }

• W2969442805 abstract "BACKGROUND CONTEXT Surgical treatment of severe pediatric deformity can be extremely challenging due to difficulties with instrumentation placement in small patients, stress on implants due to correction of severe deformities, and use of three column osteotomies. We investigated the instrumentation and fusion related complications in these complex spine deformity surgical cases. PURPOSE The purpose of this study was to evaluate the frequency and timing of revisions related to instrumentation or fusion in patients with severe pediatric deformity. STUDY DESIGN/SETTING Prospective observational multicenter cohort of severe pediatric deformity patients treated surgically. PATIENT SAMPLE Patients with a minimum spinal deformity curve of 100° or who were scheduled for a VCR procedure were prospectively enrolled at 17 sites. Patient who had reached a minimum of 2 years postoperative were included for analysis. OUTCOME MEASURES Postoperative complications associated with instrumentation and/or fusion, time of revisions and complications from index surgery METHODS Patients with severe spinal deformity (>100° or planned VCR) were included with a min. Two year f/u from 17 centers. Complications with or without revision due to pseudoarthrosis, instrumentation failure, infection requiring instrumentation removal and progression of deformity were all analyzed. RESULTS A total of 228 of 312 patients had a min of 2 yrs f/u. Of these, 29 pts (13%) had complications associated with instrumentation or fusion. A total of 22 patients (10%) had 27 revisions. The average time for all revisions was 16 mos (0-36) after index surgery; 3 patients were revised 2x and 1 pt 3x. The 27 revisions included 5 patients with loss of fixation, revised an ave. of 21 mos po (1-35). Four patients with pseudarthrosis were revised an average of 21 mos po (13-28). One patient was revised for prominent instrumentation at 27 mos po, and 5 patients for deep infection between 1-27 mos, average 15 mos. Eight patients had revisions for deformity progression at an ave of 13 mos (1-36). One patient was revised for a malpositioned screw a few days po, and 1 at 12 mos po for implant/instrumentation failure. Eight patients had complications that did not require revision. These included 1 with prominent implants, 1 with a malpositioned screw in the disc space, 3 had progressive deformity including PJK , 1 patient for implant prominence, 1 for loss of fixation, and 2 implant failures . CONCLUSIONS Pediatric patients with severe spinal deformity are at significant risk for revision surgery at a rate of 13% within 2 years. The average time for revision surgery was 16 mos po but was necessary as long 36 months after index surgery. Long term follow-up is necessary to evaluate failures in this patient population. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs." @default.
• W2969442805 created "2019-08-29" @default.
• W2969442805 creator A5000781076 @default.
• W2969442805 creator A5001559025 @default.
• W2969442805 creator A5006247641 @default.
• W2969442805 creator A5012994545 @default.
• W2969442805 creator A5033619993 @default.
• W2969442805 creator A5043050207 @default.
• W2969442805 creator A5055180025 @default.
• W2969442805 creator A5056912193 @default.
• W2969442805 creator A5061450966 @default.
• W2969442805 creator A5065104946 @default.
• W2969442805 creator A5068084557 @default.
• W2969442805 creator A5081906063 @default.
• W2969442805 creator A5084965073 @default.
• W2969442805 creator A5088490243 @default.
• W2969442805 date "2019-09-01" @default.
• W2969442805 modified "2023-09-27" @default.
• W2969442805 title "223. Surgery for severe pediatric spinal deformity has a significant rate of revision: a prospective multicenter cohort study" @default.
• W2969442805 doi "https://doi.org/10.1016/j.spinee.2019.05.238" @default.
• W2969442805 hasPublicationYear "2019" @default.
• W2969442805 type Work @default.
• W2969442805 sameAs 2969442805 @default.
• W2969442805 citedByCount "0" @default.
• W2969442805 crossrefType "journal-article" @default.
• W2969442805 hasAuthorship W2969442805A5000781076 @default.
• W2969442805 hasAuthorship W2969442805A5001559025 @default.
• W2969442805 hasAuthorship W2969442805A5006247641 @default.
• W2969442805 hasAuthorship W2969442805A5012994545 @default.
• W2969442805 hasAuthorship W2969442805A5033619993 @default.
• W2969442805 hasAuthorship W2969442805A5043050207 @default.
• W2969442805 hasAuthorship W2969442805A5055180025 @default.
• W2969442805 hasAuthorship W2969442805A5056912193 @default.
• W2969442805 hasAuthorship W2969442805A5061450966 @default.
• W2969442805 hasAuthorship W2969442805A5065104946 @default.
• W2969442805 hasAuthorship W2969442805A5068084557 @default.
• W2969442805 hasAuthorship W2969442805A5081906063 @default.
• W2969442805 hasAuthorship W2969442805A5084965073 @default.
• W2969442805 hasAuthorship W2969442805A5088490243 @default.
• W2969442805 hasConcept C126322002 @default.
• W2969442805 hasConcept C141071460 @default.
• W2969442805 hasConcept C151730666 @default.
• W2969442805 hasConcept C188816634 @default.
• W2969442805 hasConcept C201903717 @default.
• W2969442805 hasConcept C23131810 @default.
• W2969442805 hasConcept C2779343474 @default.
• W2969442805 hasConcept C2779982284 @default.
• W2969442805 hasConcept C2780375110 @default.
• W2969442805 hasConcept C2992931878 @default.
• W2969442805 hasConcept C71924100 @default.
• W2969442805 hasConcept C72563966 @default.
• W2969442805 hasConcept C86803240 @default.
• W2969442805 hasConceptScore W2969442805C126322002 @default.
• W2969442805 hasConceptScore W2969442805C141071460 @default.
• W2969442805 hasConceptScore W2969442805C151730666 @default.
• W2969442805 hasConceptScore W2969442805C188816634 @default.
• W2969442805 hasConceptScore W2969442805C201903717 @default.
• W2969442805 hasConceptScore W2969442805C23131810 @default.
• W2969442805 hasConceptScore W2969442805C2779343474 @default.
• W2969442805 hasConceptScore W2969442805C2779982284 @default.
• W2969442805 hasConceptScore W2969442805C2780375110 @default.
• W2969442805 hasConceptScore W2969442805C2992931878 @default.
• W2969442805 hasConceptScore W2969442805C71924100 @default.
• W2969442805 hasConceptScore W2969442805C72563966 @default.
• W2969442805 hasConceptScore W2969442805C86803240 @default.
• W2969442805 hasLocation W29694428051 @default.
• W2969442805 hasOpenAccess W2969442805 @default.
• W2969442805 hasPrimaryLocation W29694428051 @default.
• W2969442805 isParatext "false" @default.
• W2969442805 isRetracted "false" @default.
• W2969442805 magId "2969442805" @default.
• W2969442805 workType "article" @default.