{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:55Z","timestamp":1787169655750,"version":"build-2736575974"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Pulmonary complications are the most common non-neurologic complications following surgical correction of scoliosis. These can affect postoperative recovery by increasing the length of stay and\/or the need for ventilatory support. The aim of this retrospective study is to determine the incidence of radiographic abnormalities reported in chest radiography after posterior spinal fusion surgery for the treatment of scoliosis in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>A retrospective chart review of all patients who underwent posterior spinal fusion surgery in our center between January 2016 and December 2019 was attempted. Radiographic data including chest and spine radiographs were reviewed on the national integrated medical imaging system using medical record numbers for all patients in the 7 postoperative days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seventy-six (45.5%) of the 167 patients developed radiographic abnormalities in the postoperative period. There was evidence of atelectasis in 50 (29.9%) patients, pleural effusion in 50 (29.9%) patients, pulmonary consolidation in 8 (4.8%) patients, pneumothorax in 6 (3.6%) patients, subcutaneous emphysema in 5 (3%) patients, and rib fracture in 1 (0.6%) patient. Four (2.4%) patients were noted to have an intercostal tube inserted postoperatively, three for treating pneumothorax, and one for pleural effusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A large number of radiographic pulmonary abnormalities were encountered in children following surgical treatment of pediatric scoliosis. Although not all radiographic findings may be clinically significant, early recognition may guide clinical management. The incidence of air leak (pneumothorax, subcutaneous emphysema) was significant and could influence local protocol formulation with regards to obtaining immediate postoperative chest radiograph and intervention if clinically necessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joacp.joacp_147_21","type":"journal-article","created":{"date-parts":[[2023,3,19]],"date-time":"2023-03-19T05:45:40Z","timestamp":1679204740000},"page":"56-60","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Incidence of radiographic pulmonary abnormalities after posterior spinal fusion surgery for pediatric scoliosis"],"prefix":"10.4103","volume":"39","author":[{"given":"Kareem","family":"Hussein","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Children Health Ireland at Crumlin Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Black","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Children Health Ireland at Crumlin Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,1,6]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"1484","DOI":"10.1097\/BRS.0b013e3181f3a326","article-title":"Complications in the surgical treatment of 19,360 cases of pediatric scoliosis:A review of the Scoliosis Research Society Morbidity and Mortality database","volume":"36","author":"Reames","year":"2011","journal-title":"Spine"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1093\/bja\/ael273","article-title":"Spinal fusion surgery in children with non-idiopathic scoliosis:Is there a need for routine postoperative ventilation?","volume":"97","author":"Almenrader","year":"2006","journal-title":"Br J Anaesth"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1080\/09638280801889717","article-title":"Adolescent idiopathic scoliosis (AIS)\u2013an indication for surgery? A systematic review of the literature","volume":"30","author":"Weiss","year":"2008","journal-title":"Disabil Rehabil"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.clineuro.2019.04.024","article-title":"A predictive scoring system for pulmonary complications after posterior instrumentation and fusion for non-degenerative scoliosis","volume":"182","author":"Wang","year":"2019","journal-title":"Clin Neurol Neurosurg"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"2427","DOI":"10.2106\/00004623-200711000-00013","article-title":"Non-neurologic complications following surgery for adolescent idiopathic scoliosis","volume":"89","author":"Carreon","year":"2007","journal-title":"JBJS"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1016\/j.spinee.2008.02.002","article-title":"Inpatient complications, mortality, and discharge disposition after surgical correction of idiopathic scoliosis:A national perspective","volume":"8","author":"Patil","year":"2008","journal-title":"Spine J"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1186\/s12891-019-2708-8","article-title":"Risk factors for pulmonary complications after posterior spinal instrumentation and fusion in the treatment of congenital scoliosis:A case-control study","volume":"20","author":"Wu","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"2355","DOI":"10.1097\/BRS.0b013e3181558393","article-title":"Risk factors affecting the immediate postoperative course in pediatric scoliosis surgery","volume":"32","author":"Hod-Feins","year":"2007","journal-title":"Spine"},{"key":"R9-20240828","doi-asserted-by":"crossref","first-page":"596","DOI":"10.7326\/0003-4819-144-8-200604180-00011","article-title":"Strategies to reduce postoperative pulmonary complications after noncardiothoracic surgery:Systematic review for the American College of Physicians","volume":"144","author":"Lawrence","year":"2006","journal-title":"Ann Intern Med"},{"key":"R10-20240828","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1164\/rccm.200408-1069OC","article-title":"Incidence of and risk factors for pulmonary complications after nonthoracic surgery","volume":"171","author":"McAlister","year":"2005","journal-title":"Am J Respir Crit Care Med"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1111\/j.1445-2197.2006.03993.x","article-title":"Risk factors for postoperative pulmonary complications in upper abdominal surgery","volume":"77","author":"Kanat","year":"2007","journal-title":"ANZ J Surg"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"730","DOI":"10.3171\/2016.6.PEDS16200","article-title":"Patient and operative factors associated with complications following adolescent idiopathic scoliosis surgery:An analysis of 36,335 patients from the Nationwide Inpatient Sample","volume":"18","author":"De","year":"2016","journal-title":"J Neurosurg Pediatr"},{"key":"R13-20240828","doi-asserted-by":"crossref","first-page":"e0207657","DOI":"10.1371\/journal.pone.0207657","article-title":"Postoperative pulmonary complications following posterior spinal instrumentation and fusion for congenital scoliosis","volume":"13","author":"Yin","year":"2018","journal-title":"PloS One"},{"key":"R14-20240828","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3171\/2010.10.PEDS10212","article-title":"Morbidity and mortality associated with spinal surgery in children:A review of the Scoliosis Research Society morbidity and mortality database","volume":"7","author":"Fu","year":"2011","journal-title":"J Neurosurg Pediatr"},{"key":"R15-20240828","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1007\/s00586-012-2542-2","article-title":"Prevalence of complications in neuromuscular scoliosis surgery:A literature meta-analysis from the past 15 years","volume":"22","author":"Sharma","year":"2013","journal-title":"Eur Spine J"},{"key":"R16-20240828","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/01.bpb.0000271321.10869.98","article-title":"Perioperative complications after surgical correction in neuromuscular scoliosis","volume":"27","author":"Mohamad","year":"2007","journal-title":"J Pediatr Orthop"},{"key":"R17-20240828","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.spinee.2003.11.008","article-title":"Pulmonary complications in anterior-posterior thoracic lumbar fusions","volume":"4","author":"Jules-Elysee","year":"2004","journal-title":"Spine J"},{"key":"R18-20240828","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1016\/j.spinee.2016.12.016","article-title":"Incidence of early pulmonary complications requiring chest tube insertion in surgically treated paediatric scoliosis","volume":"17","author":"Rajmani","year":"2017","journal-title":"Spine J"},{"key":"R19-20240828","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1111\/pan.12338","article-title":"Complications in pediatric scoliosis surgery","volume":"24","author":"Sullivan","year":"2014","journal-title":"Paediatr Anaesth"},{"key":"R20-20240828","doi-asserted-by":"crossref","first-page":"1356","DOI":"10.1007\/s00586-019-05968-5","article-title":"Risk factors for postoperative pulmonary complications in the treatment of non-degenerative scoliosis by posterior instrumentation and fusion","volume":"28","author":"Wang","year":"2019","journal-title":"Eur Spine J"}],"container-title":["Journal of Anaesthesiology Clinical Pharmacology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/joacp.joacp_147_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:10:37Z","timestamp":1787166637000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/joacp.joacp_147_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,6]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/joacp.joacp_147_21","relation":{},"ISSN":["0970-9185","2231-2730"],"issn-type":[{"value":"0970-9185","type":"print"},{"value":"2231-2730","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,6]]},"assertion":[{"value":"2021-03-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}