青少年特发性脊柱侧弯患者后路脊柱融合术后颈髓损伤：一例报告
Cervical Cord Injury Following Posterior Spinal Fusion in a Patient With Adolescent Idiopathic Scoliosis: A Case Report.
作者信息
Kristobak Anne, Helgeson Melvin D, Jex Jefferson
机构信息
Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland.
出版信息
JBJS Case Connect. 2019 Jul-Sep;9(3):e0331. doi: 10.2106/JBJS.CC.18.00331.
CASE
We present an 11-year-old girl with adolescent idiopathic scoliosis who underwent uncomplicated posterior spinal fusion and developed transient upper extremity weakness secondary to a cervical cord injury several hours after the conclusion of the case.
CONCLUSIONS
Perioperative hypotension, positioning, and mild cervical canal stenosis contributed to cervical cord injury following posterior thoracic instrumentation. Optimal perioperative resuscitation and awareness of cervical spine anatomy along with proper positioning may prevent this rare but potentially serious complication.
病例
我们报告一名11岁患有青少年特发性脊柱侧弯的女孩，她接受了无并发症的后路脊柱融合术，术后数小时因颈髓损伤出现短暂性上肢无力。
结论
围手术期低血压、体位摆放以及轻度椎管狭窄是导致后路胸椎内固定术后颈髓损伤的原因。最佳的围手术期复苏措施、对颈椎解剖结构的了解以及正确的体位摆放可预防这种罕见但可能严重的并发症。
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