Congenital Scoliosis of the Pediatric Cervical Spine: Characterization of a 17-Patient Operative Cohort.

Journal Article (Journal Article)

BACKGROUND: Congenital cervical scoliosis is rare, and there is a paucity of literature describing surgical outcomes. We report surgical outcomes in a 17-patient cohort with surgical correction for congenital cervical scoliosis and identify risk factors associated with complications. METHODS: Data were retrospectively collected from a single-center cohort of 17 consecutive patients (9 boys, 8 girls) receiving surgical deformity correction for congenital cervical scoliosis. The mean age at surgery was 7.1±3.4 years with an average follow-up of 3.6±1.1 years. RESULTS: There were 24 operations performed on 17 patients, and 4 complications (17%) were reported in the series, including one each of pressure ulcer, asystole, vertebral artery injury, and pseudarthrosis. The mean preoperative major curve angle was 36±20 degrees, which improved to 24±14 degrees (P=0.02). The mean operative time was 8±2 hours with a mean estimated blood loss of 298±690 mL. Halo-gravity traction was used in 5 patients and 6 cases were staged with anterior/posterior procedures. CONCLUSIONS: Congenital scoliosis of the cervical spine is a complex process. The spinal deformity of this nature can be managed successfully with carefully planned and executed surgical correction. LEVEL OF EVIDENCE: Level IV-retrospective review.

Full Text

Duke Authors

Cited Authors

  • Toll, BJ; Samdani, AF; Amanullah, AA; Pahys, JM; Janjua, MB; Hwang, SW; Pediatric Spine Study Group,

Published Date

  • March 1, 2021

Published In

Volume / Issue

  • 41 / 3

Start / End Page

  • e211 - e216

PubMed ID

  • 33534366

Electronic International Standard Serial Number (EISSN)

  • 1539-2570

Digital Object Identifier (DOI)

  • 10.1097/BPO.0000000000001718

Language

  • eng

Conference Location

  • United States