Delayed postoperative paraplegia with hypotension in adult revision scoliosis surgery.
The clear and reversible relationship of spinal cord function to postoperative hypotension is illustrated in a case of revision scoliosis surgery in an adult patient. The correlation of spinal cord monitoring by both magnetic cortical motor evoked potentials and spinal somatosensory evoked potentials to the clinical status is shown, and the importance of close postoperative observation of the adult revision case is emphasized.
Taylor
B A
BA
Royal National Orthopaedic Hospital, Brockley Hill, Middlesex, England.
Webb
P J
PJ
Hetreed
M
M
Mulukutla
R D
RD
Farrell
J
J
D000328:Adult; D005073:Evoked Potentials, Somatosensory; D005260:Female; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D016343:Monitoring, Intraoperative; D009192:Myelography; D010264:Paraplegia / Q000209:etiology*; D011183:Postoperative Complications; D012086:Reoperation; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors