Document Detail


Pancreatitis after surgery in adolescent idiopathic scoliosis: incidence and risk factors.
MedLine Citation:
PMID:  11744859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acute pancreatitis has been documented as a postoperative complication in both the general surgery and orthopaedic literature. The etiology of pancreatitis in the postoperative orthopaedic population is not clear. The purpose of this study was to determine the incidence and possible predisposing factors for acute pancreatitis after scoliosis surgery in adolescent patients. This is a retrospective review of records and radiographs of patients undergoing surgery for adolescent idiopathic scoliosis during a 3-year period from 1995 to 1997. Twelve of 80 patients reviewed had amylase and lipase blood levels analyzed because of abdominal symptoms. Twenty-two clinical and radiologic parameters were assessed in each patient. Seven patients (9%) had elevated serum lipase or amylase levels consistent with pancreatitis. The only statistically different parameters were age, height, body mass index, days of postoperative fasting, and hospital stay (pancreatitis patients were older and taller and had a lower body mass index, and their hospital stay was longer). Older age and lower body index mass were the only factors relating to postoperative pancreatitis.
Authors:
F Javier Laplaza; Roger F Widmann; Stephen Fealy; Elaine Moustafellos; Marta Illueca; Stephen W Burke; Oheneba Boachie-Adjei
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  22     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2002 Jan-Feb
Date Detail:
Created Date:  2001-12-17     Completed Date:  2002-02-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  80-3     Citation Subset:  IM    
Affiliation:
Pediatric Orthopaedics, Hospital for Special Surgery, 535 E. 70th Street, New York, NY 10021, USA. laplazaf@hss.edu
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Case-Control Studies
Female
Humans
Incidence
Male
Pancreatitis / diagnosis,  epidemiology*,  etiology
Postoperative Complications / epidemiology
Probability
Prognosis
Reference Values
Retrospective Studies
Risk Factors
Scoliosis / diagnosis,  surgery*
Sex Distribution
Spinal Fusion / adverse effects*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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