Contributory Factors to Postoperative Spinal Fusion Complications for Children With Myelomeningocele

• DOI: 10.1097/brs.0b013e3181bf8efe
• Publication Date: 2010-04-02T07:24:36Z
• Authors: Timothy Hatlen; Kit Song; David Shurtleff; Sharon Duguay
• Keywords: 2. Zero hunger; Meningomyelocele; Malnutrition; Nutritional Status; Bacterial Infections; Risk Assessment; 3. Good health; 03 medical and health sciences; Postoperative Complications; Spinal Fusion; 0302 clinical medicine; Scoliosis; Risk Factors; Preoperative Period; Humans; Child; Retrospective Studies

This is a retrospective review of all children with myelomeningocele (MMC) who were undergoing surgery for scoliosis at our institution.Our aim was to investigate possible correlations between poor nutritional indexes and/or positive urinary cultures before perioperative infection risk.Patients have secondary MMC been shown high rate infectious complications. Many found asymptomatic tact infections due their neurogenic bladder. There little literature on risk factors and ways prevent postoperative these patients.We reviewed comprehensive database the outcome spinal fusion surgeries 59 patients treated institution over past 45 years. Perioperative correlated preoperative status (measured by patient hematocrit [Hct]) presence active using Fisher Exact Probability Test.A total 84 different operations recorded. Patients presenting nutrition (Hct<or=33) demonstrated highest wound (P=0.001). without culture as well those adequate but showed an increased respectively (P=0.03) (P=0.002).Positive urine obtained significantly (P=0.002). Urinary tract can be easily detected treated. We believe culture, protein deficiencies, or Hct<or=33, should corrected surgery.