Neurological deficit after surgery for spinal deformity--the value of normal intra operative wake-up tests in large sagitta curves. A report of two cases from an institution.
Neurological deficit after surgery for spinal deformity is a rare but devastating complication. Factors that have been associated with a post surgical deficit are congenital curves, large curves, kyphotic deformities, anterior and posterior surgery, ligation of multiple anterior vessels and hypotension; controlled or otherwise. Intra operative wake up tests have been used alone or in combination with spinal cord monitoring: to detect evolving neurological deficit in spinal deformity surgery. Despite these checks, major neurological deficits still occur post surgery. This is a report of two cases with normal intra operative wake up tests, but developed neurological deficit twelve hours after the end of surgery.
Harwant
S
S
Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Jalan Pahang, Kuala Lumpur.
D000293:Adolescent; D003943:Diagnostic Techniques, Neurological; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D009422:Nervous System Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D011859:Radiography; D013131:Spine / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*