Scheuermann Kyphosis Patients Have a Similar Revision and Infection Rate to Adolescent Idiopathic Scoliosis Patients

Multicenter retrospective review. This study aims to address major postoperative complications associated with Scheuermann kyphosis (SK) when compared with adolescent idiopathic scoliosis (AIS) in a large population matched by demographic characteristics, levels fused and operative technique. Prior...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2022-04, Vol.47 (7), p.E290-E295
Main Authors: Sarwahi, Vishal, Hasan, Sayyida, Koutsogiannis, Petros, Dzaugis, Peter, Vora, Rushabh, Molloy, Sean, Benton, Adam, Yu, Haiming, Khoyratty, Sara, Lo, Yungtai, Amaral, Terry, Lui, Darren
Format: Article
Language:English
Subjects:
Adolescent
Humans
Kyphosis - complications
Kyphosis - surgery
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
Scheuermann Disease - surgery
Scoliosis - complications
Scoliosis - surgery
Spinal Fusion - adverse effects
Spinal Fusion - methods
Treatment Outcome
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Summary:Multicenter retrospective review. This study aims to address major postoperative complications associated with Scheuermann kyphosis (SK) when compared with adolescent idiopathic scoliosis (AIS) in a large population matched by demographic characteristics, levels fused and operative technique. Prior studies have found that SK patients are 3.86 times more likely to experience major postoperative complications than in AIS. Historically, however, these studies have often had populations that were significantly different between the two groups in terms of disease severity, demographics, and small sample sizes. AIS patients were compared to SK patients between 2006 and 2018 contemporaneously. All surgeries were conducted by six surgeons among two institutions. Complications and revisions were calculated. A sub-analysis comparing SK and AIS patients by age, sex, and levels-fused in one-to-one matched pairs was performed as well as a sub-analysis matched by levels fused only in one-to-one matched pairs. One thousand three hundred twenty two patients were reviewed (1222 AIS; 100 SK). There were 52 (4.3%) complications in the AIS group compared with 20 (20%) complications in the SK group (P  0.05). Contrary to previously published literature, our analyses indicate that in a matched population, postoperative complication rates (i.e., infection and revision rates) are not significantly different between SK and AIS patients.Level of Evidence: 4.
ISSN:0362-2436
1528-1159
DOI:10.1097/BRS.0000000000004233