2nd International Conference on Pediatrics & Neonatology

March 20, 2025 | Virtual Event

Adya Ranjan

Institutions Sheffield Children’s Hospital, United Kingdom

Abstract :

Purpose: Adverse events following paediatric spinal deformity surgery in the United Kingdom suffers from significant reporting gaps, as current data relies predominantly on voluntary in­cident submissions. This retrospective study seeks to comprehensively assess the incidence of all surgical adverse events at a specialised paediatric spinal orthopaedic centre.

Methods: A retrospective review of prospectively collected data from 2010-2022 systemati­cally evaluated perioperative and postoperative adverse events. Patients were analysed by scoliosis aetiology and adverse events were stratified according to the Clavien-Dindo classi­fication system. Adverse events were further grouped by common themes including but not limited to implant-related, infection-related, and neurological events.

Results: In a retrospective study of 871 paediatric spinal deformity patients comprising 1020 operations with 2 years follow up, 324 (37.1%) experienced an adverse event. Adolescent Idio­pathic Scoliosis represented 545 patients (66.7%). Adverse event severity varied: 39.8% Grade 1, 14.2% Grade 2, 3.1% Grade 3A, 39.2% Grade 3B, 3.4% Grade 4, and 0.3% Grade 5. Implant-re­lated issues were most frequent (112 patients, 34.6%), followed by curve progression and per­sistent pain (32 and 33 patients each). Neurological events included 4 complete cord injuries (0.5%) and 4 incomplete cord injuries which fully recovered (0.5%). One perioperative death occurred.

Conclusions: In this cohort of paediatric spinal deformity surgeries, over one-third of patients experienced adverse events, predominantly of low severity requiring minimal to no further intervention. Implant-related adverse events were most frequent, while the incidence of both complete and incomplete spinal cord injury as well as mortality remained reassuringly low across all procedures.

Biography :

Adya has recently graduated in July 2024 with MBChB from University of Sheffield with a keen interest in Pedi­atrics. She is on the Specialised Foundation Program: Medical Education and has been involved with research affiliated with Sheffield Children’s Hospital and been President of University of Sheffield Pediatrics Society in 2022-2023.