Paraplegia following surgical correction of scoliosis with Cotrel-Dubousset instrumentation.
Three patients with paraplegia following corrective surgery for idiopathic scoliosis, using the Cotrel-Dubousset (CD) instrumentation, were admitted to our department over a period of 22 months. They were operated on by three different surgeons and they were the first serious neurological complications in these surgeons' careers. The monitoring method was the "wake-up" test, applied at the end of the correction maneuver with the instrument. One patient presented paraplegia at the "wake-up" test and the other two were paraplegic shortly after ceasing anesthesia. Electrophysiological spinal cord monitoring during surgery may reduce the risks of complications.
Bar-On
Z
Z
Neurological Rehabilitation Department, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Zeilig
G
G
Blumen
N
N
Ohry
A
A
Azaria
M
M
D000293:Adolescent; D005260:Female; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects*; D007432:Intraoperative Period; D008297:Male; D008991:Monitoring, Physiologic; D010264:Paraplegia / Q000209:etiology* / Q000517:prevention & control; D011183:Postoperative Complications / Q000209:etiology*; D012600:Scoliosis / Q000601:surgery*; D013116:Spinal Cord / Q000502:physiology