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Number of levels fused
15%
162/1070
Blood loss
9%
100/1070
Serum albumin level <3.5 g/dL
71%
759/1070
Preoperative curve magnitude
4%
39/1070
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The risk for wound infection after spinal fusion for neuromuscular scoliosis ranges from 4% to 14% and is higher than risk after spinal fusion in idiopathic scoliosis. A recent study of a database of 151 patients with neuromuscular scoliosis found the presence of ventriculoperitoneal shunt to be associated with an increased risk for wound infection. Age, preoperative major curve magnitude, number of vertebral levels fused, length of surgery, blood loss, and transfusion requirements were not associated with increased risk. A previous study found that poor nutritional status as measured by serum albumin <3.5 g/dL (reference range, 3.5-5.0 g/dL) or lymphocytes <1500 cells/µL (reference range, 1000-4800/µL) has been associated with increased postoperative wound infections.
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