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Perioperative characteristics and predictors of intensive care needs in patients undergoing surgery for scoliosis: a retrospective study of 165 patients

  • Shamsiya Mahammadova1
  • Sibel Oba1,*,
  • Ayşe Surhan Çinar1
  • Hacer Şebnem Türk1
  • Hacı Mustafa Özdemı̇r2

1Department of Anaesthesiology and Reanimation, Health Sciences University, Sisli Hamidiye Etfal Training and Research Hospital, 34396 Istanbul, Turkey

2Department of Orthopaedics and Traumatology, Health Sciences University, Sisli Hamidiye Etfal Training and Research Hospital, 34396 Istanbul, Turkey

DOI: 10.22514/sv.2023.121 Vol.20,Issue 2,February 2024 pp.46-52

Submitted: 05 July 2023 Accepted: 29 August 2023

Published: 08 February 2024

*Corresponding Author(s): Sibel Oba E-mail:


In this study, we retrospectively performed a review of medical records of all patients who underwent scoliosis surgery between January 2018 and January 2021. A total of 165 patients were included; (64.2% were female and the mean age was 21.6 ± 16.7 years). The most frequent aetiologies of scoliosis were idiopathic, congenital, degenerative and neuromuscular. In 48 patients who required Intensive Care Unit (ICU) stay, the rate of comorbidity was 75% (n = 36); lung disease was present in 54% (n = 26) of cases and restrictive lung disease was present in 47.9% of cases (n = 23), which were significantly higher than those who did not require ICU stay (p < 0.001). The proportion of patients with neuromuscular problems was 45.8% (n = 22) (p = 0.004) while those with epilepsy was 16.7% (n = 8) (p = 0.027). The proportion of patients with neuromuscular scoliosis was 25% (n = 12), the median number of fused vertebrae (fusion level) was 15, and the proportion of American Society of Anaesthesiologists (ASA) III patients was 54.2%(n = 26) (all p < 0.001). The median surgical duration was 307.5 minutes (p = 0.006) and the proportion of patients which received blood transfusion was 91.7% (n = 44) (p = 0.002). The pre- and post-operative haemoglobin (Hb) levels, and the post-operative arteriel blood gases (ABG) potential of hydrogen (pH) and lactate levels of patients, who needed ICU were significantly different from those who did not require the ICU (p = 0.043, p = 0.039, p < 0.001 and p = 0.037). In conclusion, a presence of restrictive lung disease, epilepsy, neuromuscular scoliosis, a high fusion level, a need for blood transfusion, long surgical duration, low Hb and pH values, and high lactate levels were found as the predictors of ICU admission.


Intensive care unit; Perioperative characteristics; Scoliosis; Spine; Surgery

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Shamsiya Mahammadova,Sibel Oba,Ayşe Surhan Çinar,Hacer Şebnem Türk,Hacı Mustafa Özdemı̇r. Perioperative characteristics and predictors of intensive care needs in patients undergoing surgery for scoliosis: a retrospective study of 165 patients. Signa Vitae. 2024. 20(2);46-52.


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