What types of patients are at increased risk of complications after spinal surgery

• Pediatric patients with spinal deformities secondary to neuromuscular disease

• Patients older than 60 years requiring extensive fusion procedures, especially anterior fusions or anterior/posterior fusions

• Patients with major preoperative neurologic deficits

• Patients requiring surgery for tumor or infection

• Patients with a history of chronic steroid use

• Patients with multiple medical comorbidities

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