Iatrogenic paraplegia in 2 morbidly obese patients with ankylosing spondylitis undergoing total hip arthroplasty

被引:16
作者
Danish, Shabbar F. [1 ]
Wilden, Jessica A. [1 ]
Schuster, James [1 ]
机构
[1] Univ Penn, Dept Neurosurg, Philadelphia, PA 19104 USA
关键词
ankylosing spondylitis; fracture; spine;
D O I
10.3171/SPI-08/01/080
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors describe 2 cases of intraoperative thoracic vertebral body extension fractures in morbidly obese patients with ankylosing spondylitis (AS), undergoing total hip arthroplasty, with resultant acute traumatic paraplegia. The pathophysiology with regard to the surgical positioning and the associated risks of obesity and AS are reviewed. Additionally, strategies for avoiding these types of injuries are discussed.
引用
收藏
页码:80 / 83
页数:4
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