|Titel på arbejdet||Pediatric Spinal Deformity Surgery – diagnostic challenges and postoperative morbidity|
|Afdeling / Sted||Orthopedic Department, Spine Unit, Rigshospitalet|
|Abstract / Summary|
Pediatric spinal deformities (PSDs) are complex but can be classified according to age of onset, etiology and radiological landmarks. The deformities may be classified as either idiopathic
Study I is a retrospective study of 381 patients referred for evaluation of adolescent idiopathic scoliosis (AIS) and enrolled in an MRI-protocol for assessment of neural axis abnormalities (NAAs). The prevalence of NAAs was 8.9%, which did not vary with curve severity or treatment modality. In addition to this, it was not possible to validate previously proposed clinical and radiographical risk factors for NAAs. The reported NAAs did not have any clinical implication, neither did the NAAs result in surgical alterations or postoperative neurological deficits.
Study II is a nationwide register study of patients aged 0–21 years undergoing primary PSD surgery within a ten-year period. Data were retrieved from the Danish National Patient Registry
Study III focused on surgical revision risk within two years following primary PSD surgery. Data were retrieved from the DNPR and all medical records were reviewed for reason for revision. The
In conclusion, this thesis provides new and valuable information to improve the diagnostic evaluation and the safety in the postoperative period. This will hopefully lead to multidisciplinary