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Dysfunction of a Ventriculoperitoneal Shunt After Posterior Spinal Fusion in Children with Cerebral Palsy A Report of Two Cases
Kareem Abu-Sneineh, MD; Glenn E. Lipton, MD; Peter G. Gabos, MD; Freeman Miller, MD
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Investigation performed at the Department of Orthopaedic Surgery, Alfred I. duPont Hospital for Children, Wilmington, Delaware

Kareem Abu-Sneineh, MD
Peter G. Gabos, MD
Freeman Miller, MD
Department of Orthopaedic Surgery, Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE 19899. E-mail address for P.G. Gabos: pgabos@nemours.org

Glenn E. Lipton, MD
Department of Orthopaedic Surgery, MCP-Hahnemann University, Broad and Vine Streets, Mail Stop 420, Philadelphia, PA 19102

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

J Bone Joint Surg Am, 2003 Jun 01;85(6):1119-1124
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Extract

Posterior spinal fusion with the use of unit rod instrumentation has been successful in the treatment of neuromuscular scoliosis 1-3 . The reported complications of this procedure include wound infection, pulmonary embolism, pneumonia, skin ulceration, excessive blood loss, pneumothorax, latex anaphylaxis, superior mesenteric artery syndrome, pancreatitis, instrumentation failure, pseudarthrosis, and spinal cord injury 1-11 . We report on two children with cerebral palsy who sustained life-threatening hydrocephalus due to dysfunction of a ventriculoperitoneal shunt after posterior spinal fusion. To our knowledge, this unusual complication has not been reported previously.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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