title: Superior mesenteric artery syndrome after scoliosis repair surgery: a case study and reassessment of the syndrome's pathogenesis.
abstract: 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.
authors.affiliation: Spine Unit, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: Roei
authors.initials: R
authors.lastname: Hod-Feins
authors.forename: Leonel
authors.initials: L
authors.lastname: Copeliovitch
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Abu-Kishk
authors.forename: Gideon
authors.initials: G
authors.lastname: Eshel
authors.forename: Gad
authors.initials: G
authors.lastname: Lotan
authors.forename: Ehud
authors.initials: E
authors.lastname: Shalmon
authors.forename: Yoram
authors.initials: Y
authors.lastname: Anekstein
authors.forename: Yigal
authors.initials: Y
authors.lastname: Mirovsky
authors.forename: Youssef
authors.initials: Y
authors.lastname: Masharawi
mesh_terms: 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