Department of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts.
Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia.
JBJS Case Connect. 2021 Jun 11;11(2):01709767-202106000-00120. doi: e20.00281.
A 55-year-old man undergoes posterior cervical decompression and instrumentation for progressive cervical myelopathy and develops white cord syndrome (WCS) postoperatively with acute tetraplegia.
WCS is a rare complication of spinal surgery that is thought to be due to reperfusion injury. We diagnosed WCS in our patient through postoperative examination consisting of acute tetraplegia and magnetic resonance imaging revealing increased signal in the cord. In this case, we used intravenous dexamethasone and mean arterial pressure above 90 mm Hg resulting in markedly improved clinical examination.
一名 55 岁男性因进行性颈脊髓病接受后路颈椎减压和器械固定，术后发生白索综合征（WCS），出现急性四肢瘫痪。
WCS 是一种罕见的脊髓手术并发症，据认为是再灌注损伤所致。我们通过术后检查诊断出患者患有 WCS，检查包括急性四肢瘫痪和磁共振成像显示脊髓信号增加。在这种情况下，我们使用静脉内地塞米松和平均动脉压高于 90mmHg，从而显著改善了临床检查。
