Ischemic neurological injury during spinal deformity surgery: current status / 中华外科杂志
Chinese Journal of Surgery
;
(12): 397-400, 2016.
Article
in Chinese
| WPRIM
| ID: wpr-349188
ABSTRACT
Ischemic neurological injury is the most feared complication of spinal deformity surgery.In recent years, more attention has been paid to ischemic neurological injury during spinal deformity surgery including causes, risk factors, and prevention. The direct and indirect causes of ischemic neurological injury contains ligature of the segmental arteries, perioperative bleeding and excessive stretching or shortening of the spinal cord.Those patients at greatest risk for paraplegia following diagnosis of thoracic kyphosis or kyphoscoliosis, unilateral vessel ligation, perioperative hypotension, and extensive anterior and posterior surgery. Keeping reasonable mean arterial pressure and multimodal intraoperative monitoring may effectively prevent ischemic neurologic injury during surgery for spinal deformity.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Arteries
/
Scoliosis
/
Spinal Cord Injuries
/
General Surgery
/
Risk Factors
/
Monitoring, Intraoperative
/
Neurosurgical Procedures
/
Ischemia
/
Kyphosis
Type of study:
Etiology study
/
Risk factors
Limits:
Humans
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2016
Type:
Article
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