Delayed postoperative neurological deficits from scoliosis correction: a case series and systematic review on clinical characteristics, treatment, prognosis, and recovery.
Hui LvZhongRong ZhangAiJun YangJianHong ZhouYuan GuoFei LuoZhengFeng ZhangZeHua ZhangJianZhong XuPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2024)
Our findings indicate that spinal cord ischemic injury was a significant factor for patients experiencing DPND and distraction after corrective surgery may be a predisposing factor for spinal cord ischemia. Additionally, it is important to consider the possibility of DPND when limb numbness and decreased muscle strength occur within 48 h after corrective scoliosis surgery. Moreover, emergency surgical intervention is highly recommended for DPND caused by mechanical compression factors with a promising prognosis for neurological function, emphasizing the importance of taking into account preoperative orthopedic diagnoses when evaluating the potential for neurological recovery.
Keyphrases
- spinal cord
- systematic review
- minimally invasive
- coronary artery bypass
- end stage renal disease
- patients undergoing
- spinal cord injury
- ejection fraction
- cerebral ischemia
- newly diagnosed
- emergency department
- neuropathic pain
- public health
- traumatic brain injury
- chronic kidney disease
- healthcare
- meta analyses
- surgical site infection
- peritoneal dialysis
- prognostic factors
- coronary artery disease
- acute coronary syndrome
- blood brain barrier
- patient reported outcomes
- climate change
- atrial fibrillation