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Start Over Author "Kwan, Mun Keong" Journal spine (03622436)
27 results on '"Kwan, Mun Keong"'

3. Parents'/Patients' Perception of the Informed Consent Process and Surgeons Accountability in Corrective Surgery for Adolescent Idiopathic Scoliosis: A Prospective Study.

Author

Yin Wei Chan, Chris, Sze Lynn Chong, Jessamine, Sin Ying Lee, Pei Ying Ch’ng, Weng Hong Chung, Chee Kidd Chiu, Hasan, Mohd Shahnaz, Mun Keong Kwan, Chan, Chris Yin Wei, Chong, Jessamine Sze Lynn, Lee, Sin Ying, Ch'ng, Pei Ying, Chung, Weng Hong, Chiu, Chee Kidd, and Kwan, Mun Keong

Published
2020
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8. Conformity and Changes in the Radiological Neck and Shoulder Balance Parameters Throughout 3-Year Follow-up Period: Do They Remain the Same?

Author

Chiu, Chee Kidd, Yin Wei Chan, Chris, Pheng Hian Tan, Saw Huan Goh, Ng, Sherwin Johan, Xue Han Chian, Yun Hui Ng, Xin Yi Ler, Chandren, Josephine Rebecca, Weng Hong Chung, Mun Keong Kwan, Chan, Chris Yin Wei, Tan, Pheng Hian, Goh, Saw Huan, Chian, Xue Han, Ng, Yun Hui, Ler, Xin Yi, Chung, Weng Hong, and Kwan, Mun Keong

Published
2020
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11. Perioperative Outcome of Single Stage Posterior Spinal Fusion for Severe Adolescent Idiopathic Scoliosis (AIS) (Cobb Angle ≥90°): The Role of a Dual Attending Surgeon Strategy.

Author

Kwan, Mun Keong, Chiu, Chee Kidd, Hasan, Mohd Shahnaz, Tan, Shun Herng, Loh, Ling Hui, Yeo, Kye Sheng, Lee, Wei Hong, and Chan, Chris Yin Wei

Subjects
*ADOLESCENT idiopathic scoliosis, *SPINAL fusion, *ORTHOPEDIC braces, *SURGICAL blood loss, *SOMATOSENSORY evoked potentials, *SURGEONS
Abstract

Study Design: Retrospective study.Objective: To evaluate the perioperative outcome of dual attending surgeon strategy for severe adolescent idiopathic scoliosis (AIS) patients with Cobb angle more than or equal to 90°.Summary Of Background Data: The overall complication rate for AIS remains significant and is higher in severe scoliosis. Various operative strategies had been reported for severe scoliosis. However the role of dual attending surgeon strategy in improving the perioperative outcome in severe scoliosis has not been investigated.Methods: The patients were stratified into two groups, Cobb angles 90° to 100° (Group 1) and more than 100° (Group 2). Demographic, intraoperative, preoperative, and postoperative day 2 data were collected. The main outcome measures were intraoperative blood loss, use of allogeneic blood transfusion, operative time, duration of hospital stay postsurgery, and documentation of any perioperative complications.Results: Eighty-five patients were recruited. The mean age for the whole cohort was 16.2 ± 5.2 years old. The mean age of Group 1 was 16.7 ± 5.7 and Group 2 was 15.6 ± 4.8 years old. The majority of the patients in both groups were Lenke 2 curves with the average Cobb angle of 93.9 ± 3.0° in Group 1 and 114.2 ± 10.2° in Group 2. The average operative time was 198.5 ± 47.5 minutes with an average blood loss of 1699.5 ± 939.3 mL. The allogeneic blood transfusion rate was 17.6%. The average length of stay postoperation was 71.6 ± 22.5 hours. When comparing the patients between Group 1 and Group 2, the operating time, total blood loss, allogeneic transfusion rate showed significant intergroup differences. Five complications were documented (one intraoperative seizure, one massive blood loss, one intraoperative loss of somatosensory evoked potential (SSEP) signal, and two superficial wound breakdown).Conclusion: Dual attending surgeon strategy in severe AIS more than or equal to 90° demonstrated an average operative time of 199 minutes, intraoperative blood loss of 1.7 L, postoperative hospital stay of 71.6 hours, and a complication rate of 5.9% (5/85 patients). Curves with Cobb angle more than 100° lead to longer operating time, greater blood loss, and allogeneic transfusion rate.Level Of Evidence: 4. [ABSTRACT FROM AUTHOR]

Published
2019
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