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Spine (Phila Pa 1976). 2013 Dec 15;38(26):E1704-8. doi: 10.1097/BRS.0000000000000035.

Cervical spinal cord injury after thoracic spinal instrumentation: a case series.

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  • 1*Department of Orthopaedics and Rehabilitation, University of Wisconsin/American Family Children's Hospital, Madison, WI; and †Pediatric Orthopaedics, Helen DeVos Children's Hospital, Grand Rapids, MI.

Abstract

STUDY DESIGN:

Retrospective case report of 2 cases.

OBJECTIVE:

To describe 2 cases of cervical spinal cord injury/vascular insult after posterior instrumentation of thoracic/thoracolumbar scoliosis.

SUMMARY OF BACKGROUND DATA:

Spinal cord injury is an uncommon but well-documented complication associated with spinal deformity surgery. The midthoracic spinal cord is most vulnerable to these presumed vascular insults. Injuries above the level of instrumentation are rare.

METHODS:

In this report, we review the clinical histories of 2 adolescent females undergoing posterior spinal fusion with subsequent cervical spinal cord injuries.

RESULTS:

In both cases, intraoperative cervical alignment appeared neutral and all hardware appeared appropriately positioned. Spinal cord monitoring demonstrated changes in 1 patient but not in the other. With time, both patients improved clinically.

CONCLUSION:

Cervical spinal cord injuries may occur after distal deformity correction.

PMID:
24335639
[PubMed - indexed for MEDLINE]
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