TABLE VIII.

Literature Review Summary of Neurologic Complication Rates Following Spinal Deformity Surgery

Study	Year Published	No. of Patients	Study Type	Single Vs. Multicenter	Type of Deformity	Surgical Procedures	Neurologic Complication Rate
Charosky et al.5	2012	306	Retrospective review of prospectively collected data	Multicenter	Adult degenerative scoliosis	Primary	7% with 2 cases (0.6%) of late cord-level deficits
Buchowski et al.31	2007	108	Retrospective radiographic review of prospectively collected clinical data	Single center	Scoliosis and kyphosis	Pedicle subtraction osteotomy	11.1% (12), 2.8% (3) with permanent neurologic deficits
Kim et al.19	2012	233	Retrospective	Single center	Scoliosis and kyphosis	Posterior vertebral column resection vs. decancellation osteotomy	Transient: 31.8% after posterior vertebral column resection vs. 7.5% after decancellation osteotomy; permanent: 3.3% vs. 1.2%
Bomback et al.40	2007	34	Retrospective case-control	Single center	Thoracic curves >50°	Thoracoscopic surgery vs. thoracotomy	No neurologic complications in either group
Shapiro et al.43	2003	16	Retrospective case series	Single center	Adult idiopathic thoracolumbar and/or lumbar scoliosis	Anterior and posterior spinal reconstructive surgery	No neurologic complications
Suk et al.44	2005	16	Retrospective	Single center	Severe rigid scoliosis	Posterior vertebral column resection	1 patient developed complete paralysis
Xie et al.46	2012	28	Retrospective	Single center	Severe rigid scoliosis with curves >100°	Posterior vertebral column resection	17.9%
Lenke et al.41	2010	43	Retrospective	Single center	Severe scoliosis, global kyphosis, angular kyphosis, or kyphoscoliosis	Posterior vertebral column resection	4.7% (2) with postop. nerve root deficits
Swank et al.45	1981	222	Retrospective	Single center	Idiopathic scoliosis, congenital scoliosis, and paralytic scoliosis	Primary	1 patient became paraparetic postop.
Qiu et al.42	2008	1,373	Retrospective	Single center	Scoliosis	Anterior, posterior, and anteroposterior techniques	3.7%