PDF(Pubmed)
Abstract：
Superior mesenteric artery syndrome (SMAS) is a rare and unpredictable complication after correction spine surgery for adolescent idiopathic scoliosis (AIS). The management of this condition is poorly investigated, with controversial outcomes. This investigation systematically reviewed current evidence on pathogenesis, risk factors, management, and outcomes of SMAS following correction spine surgery for AIS. The present systematic review was conducted according to the 2020 PRISMA statement. All the included investigations reported SMAS presentation following scoliosis correction surgery in AIS. 29 articles with 61 eligible patients were included in this review. The mean age of the patients was 15.8 ± 7.2 years. The mean weight was 45.3 ± 8.0 kg, the mean height 159.6 ± 13.6 cm, and the mean BMI 16.5 ± 2.9 kg/m2. The mean duration of the treatment for SMAS was 21.6 ± 10.3 days. The mean interval between spine surgery and symptoms of SAMS was 69 days, with high between-studies variability (3 days to 4 years). Prompt identification of risk factors and an early diagnosis are necessary to manage SMAS and reduce the risk of complications. Additional investigations are required to establish risk factors and diagnostic criteria.Level of evidence Level IV, systematic review.
摘要：
肠系膜上动脉综合征（SMAS）是青少年特发性脊柱侧凸（AIS）矫正脊柱手术后的一种罕见且不可预测的并发症。对这种情况的管理调查不充分，有争议的结果。这项调查系统回顾了目前关于发病机制的证据，危险因素，管理,以及AIS脊柱矫正手术后SMAS的结果。本系统审查是根据2020年PRISMA声明进行的。所有纳入的调查均报道了AIS脊柱侧弯矫正手术后的SMAS表现。本综述包括29篇文章，61例符合条件的患者。患者的平均年龄为15.8±7.2岁。平均体重为45.3±8.0公斤，平均身高159.6±13.6厘米，和平均BMI16.5±2.9kg/m2。SMAS治疗的平均持续时间为21.6±10.3天。脊柱手术与SAMS症状之间的平均间隔为69天，具有较高的研究间变异性（3天至4年）。及时识别危险因素和早期诊断对于管理SMAS和降低并发症的风险是必要的。需要进行额外的调查以确定风险因素和诊断标准。证据级别IV级,系统回顾。
