Swamy Kurra Stephen Albanese Patrick Cahill Randal Betz

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Presentation transcript:

Surgical Site Infections after Early Onset Scoliosis Definitive Fusion Surgeries Swamy Kurra Stephen Albanese Patrick Cahill Randal Betz William Lavelle HARMS Study Group Children’s Spine Study Group

Hypothesis Compare surgical site infections associated with posterior definitive fusion in early onset scoliosis (EOS) with adolescent idiopathic scoliosis (AIS) patients.

Study Design Retrospective study 2 prospectively collected databases (n= 145) HARMS Study Children’s Spine Study Reviewed EOS and AIS patients involved in definitive fusions

Background Surgical site infections have been well described in AIS population after fusion surgery. EOS population with surgical site infections after definitive fusion surgery have not been reported in literature.

Materials Groups categorized into: AIS (n = 111) EOS (n – 34) Analyzed definitive fusion surgical site infection complications between AIS and EOS groups using Chi-square P < 0.05 considered statistically significant

Results Average age at time of definitive fusion: AIS = 11.3 years EOS = 12.6 years Surgical site infection rate after definitive fusion: p = 0.21 AIS = 3.6% ( 4 out of 111) EOS = 8.8% (3 out of 34) EOS Group: 2 patients resolved without further surgery 1 patient had surgical intervention AIS Group: 3 patients needed surgical intervention (1 patient had construct removed)

Results 14 EOS patients had spine infections during growth phase of treatment None of these patients had infections after definitive fusion

Results AIS EOS N 111 34 Age (mean) 11.3 12.6 Fusion levels (mean) 11.6 13.3 Surgical Infections 4 (3.6%) 3 (8.8%)

Conclusion Surgical site infections occurred in a higher percentage of EOS patients than AIS patients after definitive fusion. Difference did not reach statistical significance. Possibly due to small number in EOS group All infections were resolved in both groups with medical or surgical intervention.