Screening of Metal Hypersensitivity in Pediatric Spine Surgery vs. Pectus Excavatum: A Comparative Cohort Study
The lower prevalence in spine patients likely reflects differences in PMAT determination rather than true population differences. This study highlights the potential underdiagnosis of hypersensitivity in the spine cohort when using selective screening, compared to routine testing in the pectus cohort. Determining higher yield screening criteria for spine surgery may result in detection rates more comparable to those found in the pectus cohort. Further research is needed to refine preoperative screening protocols and evaluate the clinical impact of metal hypersensitivity in pediatric orthopedic surgery.
Authors
- Tiffany Ruan (ORCID: https://orcid.org/0000-0002-8094-0697)
- Nichole Leitsinger
- Amal Assa’ad (ORCID: https://orcid.org/0000-0001-7791-6859)
- Raphael H. Parrado (ORCID: https://orcid.org/0000-0003-0388-3948)
- Viral V. Jain (ORCID: https://orcid.org/0000-0003-1333-8783)
- Michael G. Sherenian (ORCID: https://orcid.org/0000-0002-2766-729X)
- Steffen Emmert (ORCID: https://orcid.org/0000-0001-5630-4204)
- Lindsay Schultz
- Alvin C. Jones (ORCID: https://orcid.org/0000-0002-4006-0230)
- Wasim Shihab (ORCID: https://orcid.org/0000-0002-3812-2025)
Institutions
- Cincinnati Children's Hospital Medical Center (US)
Publication Details
- Journal
- Cureus
- Published
- 2025-09-25
- DOI
- https://doi.org/10.7759/cureus.93222
- Primary Topic
- Musicians’ Health and Performance
- Type
- article
- Field-Weighted Citation Impact
- 0.00