Risk factors for pancreatitis after posterior spinal fusion in children with cerebral palsy

ABOUSAMRA O., NISHNIANIDZE T., ROGERS K. J., ER M. S., Sees J. P., DABNEY K. W., ...Daha Fazla

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, cilt.27, sa.2, ss.163-167, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 27 Sayı: 2
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1097/bpb.0000000000000376
  • Dergi Adı: JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.163-167
  • Anahtar Kelimeler: cerebral palsy, postoperative pancreatitis, scoliosis, spinal fusion, POSTOPERATIVE PANCREATITIS, COMPLICATIONS, SCOLIOSIS, SURGERY, ANTERIOR
  • Akdeniz Üniversitesi Adresli: Evet

Özet

This study reports on the prevalence and risk factors of acute pancreatitis after posterior spinal fusion for cerebral palsy scoliosis. Pancreatitis diagnosis was based on elevated amylase or lipase above three times the upper normal limit. Perioperative data were compared between patients with and without pancreatitis. We included 300 patients; 55% developed acute pancreatitis. Gastrostomy dependence was more common in the pancreatitis group (P=0.048). Perioperative data were similar between groups. Patients with pancreatitis had longer duration of hospitalization (19 vs. 13 days, P<0.001). Acute pancreatitis is common after cerebral palsy scoliosis surgery. Gastrostomy dependence increases its risk. Although no mortality was reported, hospital stay was longer. Copyright (c) 2018 Wolters Kluwer Health, Inc. All rights reserved.