Superior mesenteric artery syndrome after scoliosis repair surgery: a case study and reassessment of the syndrome's pathogenesis.
We carried out a retrospective analysis to investigate the prevalence of superior mesentery artery syndrome (SMAS) in children who underwent scoliosis surgical repair at our hospital between 1998 and 2006 and to reassess the syndrome's pathogenesis. Among 133 consecutive pediatric patients, two cases were identified, both 13-year-old girls with idiopathic scoliosis, undergoing surgery using third-generation instrumentation systems. Conservative management achieved resolution of the symptoms without recurrence. SMAS prevalence in our series was 1.6%. SMAS might occur after derotation and translation forces application, and even with nonextreme corrections. Low BMI and significant weight loss at presentation are not mandatory.
Hod-Feins
Roei
R
Spine Unit, Assaf Harofeh Medical Center, Zerifin, Israel.
Copeliovitch
Leonel
L
Abu-Kishk
Ibrahim
I
Eshel
Gideon
G
Lotan
Gad
G
Shalmon
Ehud
E
Anekstein
Yoram
Y
Mirovsky
Yigal
Y
Masharawi
Youssef
Y
D000293:Adolescent; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007557:Israel / Q000453:epidemiology; D011183:Postoperative Complications; D012189:Retrospective Studies; D012600:Scoliosis / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects*; D013478:Superior Mesenteric Artery Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome