Cervical Cord Injury Following Posterior Spinal Fusion in a Patient With Adolescent Idiopathic Scoliosis: A Case Report

Anne Kristobak; Melvin D. Helgeson; Jefferson Jex

doi:10.2106/JBJS.CC.18.00331

Cervical Cord Injury Following Posterior Spinal Fusion in a Patient With Adolescent Idiopathic Scoliosis: A Case Report

Anne Kristobak, Melvin D. Helgeson, Jefferson Jex

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

CASE: We present an 11-year-old girl with adolescent idiopathic scoliosis who underwent uncomplicated posterior spinal fusion and developed transient upper extremity weakness secondary to a cervical cord injury several hours after the conclusion of the case. CONCLUSIONS: Perioperative hypotension, positioning, and mild cervical canal stenosis contributed to cervical cord injury following posterior thoracic instrumentation. Optimal perioperative resuscitation and awareness of cervical spine anatomy along with proper positioning may prevent this rare but potentially serious complication.

Original language	English
Pages (from-to)	e0331
Journal	JBJS Case Connector
Volume	9
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.18.00331
State	Published - 1 Jul 2019
Externally published	Yes

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title = "Cervical Cord Injury Following Posterior Spinal Fusion in a Patient With Adolescent Idiopathic Scoliosis: A Case Report",

abstract = "CASE: We present an 11-year-old girl with adolescent idiopathic scoliosis who underwent uncomplicated posterior spinal fusion and developed transient upper extremity weakness secondary to a cervical cord injury several hours after the conclusion of the case. CONCLUSIONS: Perioperative hypotension, positioning, and mild cervical canal stenosis contributed to cervical cord injury following posterior thoracic instrumentation. Optimal perioperative resuscitation and awareness of cervical spine anatomy along with proper positioning may prevent this rare but potentially serious complication.",

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AB - CASE: We present an 11-year-old girl with adolescent idiopathic scoliosis who underwent uncomplicated posterior spinal fusion and developed transient upper extremity weakness secondary to a cervical cord injury several hours after the conclusion of the case. CONCLUSIONS: Perioperative hypotension, positioning, and mild cervical canal stenosis contributed to cervical cord injury following posterior thoracic instrumentation. Optimal perioperative resuscitation and awareness of cervical spine anatomy along with proper positioning may prevent this rare but potentially serious complication.

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Cervical Cord Injury Following Posterior Spinal Fusion in a Patient With Adolescent Idiopathic Scoliosis: A Case Report

Abstract

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