Concurrent Presence of Thoracolumbar Scoliosis and Chiari Malformation: Is Operative Risk Magnified?
Title: | Concurrent Presence of Thoracolumbar Scoliosis and Chiari Malformation: Is Operative Risk Magnified? |
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Authors: | Sara Naessig, Peter Tretiakov, Karan Patel, Waleed Ahmad, Katherine Pierce, Nicholas Kummer, Rachel Joujon-Roche, Bailey Imbo, Tyler Williamson, Oscar Krol, Muhammad Burhan Janjua, Shaleen Vira, Bassel Diebo, Daniel Sciubba, Peter Passias |
Source: | Asian Spine Journal, Vol 17, Iss 4, Pp 703-711 (2023) |
Publisher Information: | Korean Spine Society, 2023. |
Publication Year: | 2023 |
Collection: | LCC:Medicine |
Subject Terms: | arnold-chiari malformation, scoliosis, operative risk, Medicine |
More Details: | Study Design Retrospective review of Kids’ Inpatient Database (KID). Purpose: Identify the risks and complications associated with surgery in adolescents diagnosed with Chiari and scoliosis. Overview of Literature Scoliosis is frequently associated with Chiari malformation (CM). More specifically, reports have been made about this association with CM type I in the absence of syrinx status. Methods: The KID was used to identify all pediatric inpatients with CM and scoliosis. The patients were stratified into three groups: those with concomitant CM and scoliosis (CMS group), those with only CM (CM group), and those with only scoliosis (Sc group). Multivariate logistic regressions were used to assess association between surgical characteristics and diagnosis with complication rate. Results: A total of 90,707 spine patients were identified (61.8% Sc, 37% CM, 1.2% CMS). Sc patients were older, had a higher invasiveness score, and higher Charlson comorbidity index (all p |
Document Type: | article |
File Description: | electronic resource |
Language: | English |
ISSN: | 1976-1902 1976-7846 |
Relation: | http://www.asianspinejournal.org/upload/pdf/asj-2022-0077.pdf; https://doaj.org/toc/1976-1902; https://doaj.org/toc/1976-7846 |
DOI: | 10.31616/asj.2022.0077 |
Access URL: | https://doaj.org/article/d7710eeb08ec443a87ac94888288d6c1 |
Accession Number: | edsdoj.7710eeb08ec443a87ac94888288d6c1 |
Database: | Directory of Open Access Journals |
ISSN: | 19761902 19767846 |
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DOI: | 10.31616/asj.2022.0077 |
Published in: | Asian Spine Journal |
Language: | English |