{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T18:54:03Z","timestamp":1775588043249,"version":"3.50.1"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Gillette Children's Spine Fund"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spine Deform"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To describe the incidence of reoperation and factors contributing to surgical revision within a minimum of 10\u00a0years after spinal fusion for scoliosis in patients with nonambulatory cerebral palsy (CP).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted a retrospective review of consecutive nonambulatory patients with CP who underwent primary spinal fusion at a single specialty care center with a minimum of 10\u00a0years from their index surgery (surgery dates 2001\u20132011). Causes of reoperation were classified as implant failure\/pseudoarthrosis, surgical site infection (SSI), proximal junctional kyphosis, prominent\/symptomatic implants, and implant removal. Reoperation rates with 95% confidence intervals were calculated for each time interval, and an actuarial survival curve was generated.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>144 patients met inclusion criteria (mean age\u2009=\u200914.3\u2009\u00b1\u20092.6\u00a0years, 62.5% male); 85.4% had 5\u00a0years follow-up data; and 66.0% had 10\u00a0years follow-up data. Estimates from the actuarial analysis suggest that 14.9% (95% CI: 10.0\u201322.0) underwent reoperation by 5\u00a0years postsurgery, and 21.7% (95% CI: 15.4\u201330.1) underwent reoperation by 10\u00a0years postsurgery. The most common causes for reoperation were implant failure\/pseudoarthrosis, SSI, and prominent\/symptomatic implants.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>To our knowledge, this study is the largest long-term follow-up of nonambulatory patients with CP and neuromuscular scoliosis who underwent spinal fusion. Approximately 22% of these patients required reoperation 10\u00a0years after their index surgery, primarily due to implant failure\/pseudoarthrosis, SSI, and prominent\/symptomatic implants. Complications and reoperations continued throughout the 10\u00a0years period after index surgery, reinforcing the need for long-term follow-up as these patients transition into adulthood.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Level of evidence<\/jats:title>\n                <jats:p>III.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s43390-024-00878-z","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T11:02:51Z","timestamp":1714388571000},"page":"1393-1401","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long-term reoperation rates following spinal fusion for neuromuscular scoliosis in nonambulatory patients with cerebral palsy"],"prefix":"10.1007","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9479-7071","authenticated-orcid":false,"given":"Christopher D.","family":"Seaver","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8059-3659","authenticated-orcid":false,"given":"Sara J.","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9470-0379","authenticated-orcid":false,"given":"Candice S.","family":"Legister","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1442-2449","authenticated-orcid":false,"given":"Casey L.","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3385-9407","authenticated-orcid":false,"given":"Eduardo C.","family":"Beauchamp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7738-0812","authenticated-orcid":false,"given":"Tenner J.","family":"Guillaume","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7114-195X","authenticated-orcid":false,"given":"Walter H.","family":"Truong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4543-4120","authenticated-orcid":false,"given":"Steven E.","family":"Koop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3672-396X","authenticated-orcid":false,"given":"Joseph H.","family":"Perra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7405-3154","authenticated-orcid":false,"given":"John E.","family":"Lonstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8848-6724","authenticated-orcid":false,"given":"Daniel J.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"issue":"2","key":"878_CR1","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1055\/s-2002-36540","volume":"22","author":"S Berven","year":"2002","unstructured":"Berven S, Bradford DS (2002) Neuromuscular scoliosis: causes of deformity and principles for evaluation and management. 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Dr. Perra and Dr. Beauchamp are consultants for Medtronic. All other authors have no interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}