title: Neurologic and vascular complications of scoliosis surgery in patients with Ehlers-Danlos syndrome. A case report.
abstract: METHODS
  Case reports.
  
  
  OBJECTIVE
  Description of neurologic and vascular complications of scoliosis surgery to children and adolescents with ehlers-danios syndrome.
  
  
  BACKGROUND
  There have been no previous reports of neurologic and vascular complications of scoliosis surgery in patients with Ehlers-Danlos syndrome. Scoliosis and vascular fragility are characteristics of certain types of Ehlers-Danlos syndrome.
  
  
  METHODS
  Case reports and literature review.
  
  
  RESULTS
  Subsequent to scoliosis surgery, three patients with Ehlers-Danlos syndrome developed neurologic complications: two developed paraplegia, and one developed unilateral foot and ankle weakness with transient neurogenic bladder. Another patient with Ehlers-Danlos syndrome experienced avulsion of segmental arteries during anterior spinal surgery.
  
  
  CONCLUSIONS
  Patients with Ehlers-Danlos syndrome may be at high risk for neurologic and vascular complications consequent to scoliosis surgery, necessitating careful perioperative evaluation and management.
authors.affiliation: Department of Pediatrics, Shriners Hospitals for Crippled Children, Chicago Unit, Illinois, USA.
authors.forename: L C
authors.initials: LC
authors.lastname: Vogel
authors.forename: J P
authors.initials: JP
authors.lastname: Lubicky
mesh_terms: D002318:Cardiovascular Diseases / Q000209:etiology*; D002648:Child; D004535:Ehlers-Danlos Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009422:Nervous System Diseases / Q000209:etiology*; D011183:Postoperative Complications; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013123:Spinal Fusion