Al-Mohrej Omar A, Aldakhil Sahar S, Al-Rabiah Mohammed A, Al-Rabiah Anwar M
Department of Orthopedic Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Department of Orthopedic Surgery, King Abdulaziz Medical City, Riyadh, Saudi Arabia.
Ann Med Surg (Lond). 2020 Feb 24;52:19-23. doi: 10.1016/j.amsu.2020.02.004. eCollection 2020 Apr.
Despite the fact that spinal surgeries for adolescent idiopathic scoliosis (AIS) result in good outcomes for most patients, they are not without complications either medically or surgically. Neurologic injury represents the most severe complication and is, as such, the most feared. Further complications include dural tears, peripheral neuropathy, surgical-site infections, implant-related issues, thromboembolic events, visual loss, pseudarthrosis, Crankshaft phenomenon, flatback phenomenon, proximal junctional kyphosis, and mortality. It is vital that all spine surgeons to be fully conversant with the possible complications and the proper responses for each of them.
尽管青少年特发性脊柱侧弯(AIS)的脊柱手术对大多数患者来说都能取得良好的效果,但无论是在医学上还是手术上,都并非没有并发症。神经损伤是最严重的并发症,因此也是最令人恐惧的。其他并发症包括硬脊膜撕裂、周围神经病变、手术部位感染、植入物相关问题、血栓栓塞事件、视力丧失、假关节形成、曲轴现象、平背现象、近端交界性后凸畸形以及死亡。所有脊柱外科医生必须充分熟悉可能出现的并发症以及针对每种并发症的适当应对措施,这至关重要。