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.
Neurological Rehabilitation Department, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Z
Z
Bar-On
G
G
Zeilig
N
N
Blumen
A
A
Ohry
M
M
Azaria
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