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            [0] => Does radiographic malialignment correlate with poor clinical outcomes In Adolescent idiopathic scoliosis
        )

    [etablissement] => Array
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            [0] => hopital d'enfants de tunis
        )

    [nom] => Array
        (
            [0] => mohsni
        )

    [prenom] => Array
        (
            [0] => ahmed amine
        )

    [email] => Array
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            [0] => ahmedaminemohsni@hotmail.com
        )

    [telephone] => Array
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            [0] => 58918474
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    [auteurs] => Array
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            [0] => 
 
Nom prénom / Name Surname: aouinti nizar
Email: aouintinizar4@gmail.com
Hôpital / Hospital: hopital d'enfants tunis

 
Nom prénom / Name Surname: mohsni ahmed amine
Email: ahmedaminemohsni@hotmail.com
Hôpital / Hospital: hopital d'enfant tunis

 
Nom prénom / Name Surname: kasbi ahmed
Email: 
Hôpital / Hospital: 

 
Nom prénom / Name Surname: kacem mensia
Email: 
Hôpital / Hospital: 

 
Nom prénom / Name Surname: mohamed nebil nessib
Email: 
Hôpital / Hospital: 

 
Nom prénom / Name Surname: zairi mohamed
Email: 
Hôpital / Hospital: 

        )

    [mots_cles] => Array
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            [0] => Adolescent idiopathic scoliosis;

        )

    [event-id] => Array
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            [0] => 3663
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            [0] => 1
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    [user_email] => Array
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            [0] => ahmedaminemohsni@hotmail.com
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
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            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction Corrective surgery for pediatric  spinal deformity (AID) is known to carry a  risk of complications yet it is unclear which complications have the greatest impact on outcomes.
 Methods: Operative AIS  patients  (scoliosis≥40°) with  2Y radiographic follow-up. Complications grouped as: intraoperative/perioperative, medical, mechanical, or neurological. Multivariable analysis (MVA) controlling for age, baseline deformity, invasiveness, and baseline disability assessed impact of complications on HRQL outcomes. A conditional inference tree (CIT) stratified complications in a hierarchal manner based on impact on HRQLs.
Results :
122 AID patients (14.9yrs±4.0, 85%F ) with a mean level fused of 13.1±1.4. 6 categories were included: 5 (4%) medical complications, 5 (4,9%) neurological, 9 (7.3%) mechanical after discharge, 3 (2,4%) radiographic related to PJK, and 7 (5,7%) surgical infection related complications MVA and CIT ranking showed radiographic complications had the most impact on ODI and SRS, followed by neurological complications. None of the other 4 categories led to significant long-term effects. For individual complications, CIT ranked remaining severe in any SRS-Schwab modifier by 2Y as the largest contributor to worse outcomes in SRS, followed by implant failure, development of a motor deficit, and PJK, and implant failure.
Discussion:
Despite a significant portion of patients experiencing intraoperative/perioperative, medical, mechanical, and many neurological complications, the most detrimental contributors to poor long-term outcomes were almost exclusively related to poor radiographic correction, loss of correction post-operatively, and mechanical failure. Conclusion:
 The most detrimental contributors to poor long-term outcomes were almost exclusively related to poor radiographic correction, loss of correction post-operatively, and mechanical failure, among many categories of complications
        )

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