Delayed postoperative cervical spinal cord ischemic lesion after a thoracolumbar fusion for syndromic scoliosis: a case report and systematic review of the literature.
Alessio LoviFrancesca ManfroniAndrea LucaLisa BabbiMarco Brayda-BrunoPublished in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2021)
Delayed postoperative neurological deficit far from the surgical site can be considered a specific subgroup of these rare complication that can occur several hours after spine surgery, regardless of intraoperative complication. Despite the rarity of this complication, clinicians should be aware of it. Perioperative optimization of spinal cord perfusion and close neurological examination in first postoperative days may be helpful to quickly recognize and treat this complication.
Keyphrases
- patients undergoing
- spinal cord
- spinal cord injury
- neuropathic pain
- cerebral ischemia
- randomized controlled trial
- cardiac surgery
- palliative care
- intellectual disability
- magnetic resonance imaging
- clinical trial
- magnetic resonance
- acute kidney injury
- contrast enhanced
- oxidative stress
- phase iii
- study protocol
- open label
- double blind