Suspicious Reperfusion Injury of Spinal Cord After Multilevel Cervical Posterior Decompression without Remarkable Surgical Insult: Two Case Reports
Journal of Korean Society of Spine Surgery
;
: 97-102, 2014.
Article
in Korean
| WPRIM
| ID: wpr-95516
ABSTRACT
STUDY DESIGN:
Two case reports.OBJECTIVES:
We present two cases of quadriplegia after posterior decompression with fusion caused by a suspicious reperfusion injury of spinal cord without remarkable surgical insult. SUMMARY OF LITERATURE REVIEW Posterior decompression and posterolateral fusion have been reported as effective procedures in patients with multilevel myelopathy. However, postoperative spinal cord injury without remarkable intraoperative technical damage has been reported in a few articles. Reperfusion mechanism was suggested as one of the leading causes and reported in some animal models. MATERIALS ANDMETHODS:
There was one case of ossification of the posterior longitudinal ligament and one developmental multilevel stenosis that underwent laminectomy with lateral mass instrumentation. After surgery, the patients presented with quadriplegia; MRI demonstrated swelling of the spinal cord and intramedullary lesion in two cases.RESULTS:
After surgery, the patients presented with quadriplegia; MRI demonstrated swelling of the spinal cord and intramedullary lesion in two cases.CONCLUSION:
Although patients with such a medical condition are rare, it is difficult to predict postoperative swelling of the spinal cord before surgery. The surgeon should thus be aware of such rare disease conditions involving the spinal cord before the surgical procedure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Quadriplegia
/
Spinal Cord
/
Spinal Cord Diseases
/
Spinal Cord Injuries
/
Magnetic Resonance Imaging
/
Reperfusion
/
Reperfusion Injury
/
Longitudinal Ligaments
/
Constriction, Pathologic
/
Models, Animal
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2014
Type:
Article
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