{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:02:13Z","timestamp":1789574533419,"version":"build-2803163510"},"reference-count":45,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T00:00:00Z","timestamp":1600819200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Retrospective cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To provide a national-level assessment of the short-term outcomes after spinal deformity surgery in pediatric patients with cerebral palsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A national, prospectively collected database was queried to identify pediatric (\u226418 years) patients with cerebral palsy, who underwent spinal fusion surgery from 2012 to 2017. Separate multivariate analyses were performed for the primary outcomes of interest including extended length of stay (&gt;75th percentile, &gt;8 days), and readmissions within 90 days after the index admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 2856 patients were reviewed. The mean age \u00b1 standard deviation was 12.8 \u00b1 2.9 years, and 49.4% of patients were female. The majority of patients underwent a posterior spinal fusion (97.0%) involving \u22658 levels (79.9%) at a teaching hospital (96.6%). Top medical complications (24.5%) included acute respiratory failure requiring mechanical ventilation (11.4%), paralytic ileus (8.2%), and urinary tract infections (4.6%). Top surgical complications (40.7%) included blood transfusion (35.6%), wound complication (4.9%), and mechanical complication (2.7%). The hospital cost for patients with a length of hospital stay &gt;8 days ($113\u2009669) was nearly double than that of those with a shorter length of stay ($68\u2009411). The 90-day readmission rate was 17.6% (mean days to readmission: 30.2). The most common reason for readmission included wound dehiscence (21.1%), surgical site infection (19.1%), other infection (18.9%), dehydration (16.9%), feeding issues (14.5%), and acute respiratory failure (13.1%). Notable independent predictors for 90-day readmissions included preexisting pulmonary disease (odds ratio [OR] 1.5), obesity (OR 3.4), cachexia (OR 27), nonteaching hospital (OR 3.5), inpatient return to operating room (OR 1.9), and length of stay &gt;8 days (OR 1.5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Efforts focused on optimizing the perioperative pulmonary, hematological, and nutritional status as well as reducing wound complications appear to be the most important for improving clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2192568220960075","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T05:39:33Z","timestamp":1600839573000},"page":"610-619","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Spinal Deformity Surgery in Pediatric Patients With Cerebral Palsy: A National-Level Analysis of Inpatient and Postdischarge Outcomes"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9572-5968","authenticated-orcid":false,"given":"Nathan J.","family":"Lee","sequence":"first","affiliation":[{"name":"Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6077-1494","authenticated-orcid":false,"given":"Michael","family":"Fields","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkat","family":"Boddapati","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7699-780X","authenticated-orcid":false,"given":"Justin","family":"Mathew","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Hong","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeeshan M.","family":"Sardar","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5530-7523","authenticated-orcid":false,"given":"Paulo 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