Neurologic and vascular complications of scoliosis surgery in patients with Ehlers-Danlos syndrome - A case report

被引:24
作者
Vogel, LC
Lubicky, JP
机构
[1] SHRINERS HOSP CRIPPLED CHILDREN,DEPT ORTHOPAED SURG,CHICAGO UNIT,CHICAGO,IL 60635
[2] SHRINERS HOSP CRIPPLED CHILDREN,DEPT PEDIAT,CHICAGO UNIT,CHICAGO,IL 60635
关键词
Ehlers-Danlos syndrome; neurologic complications; scoliosis; spinal cord injuries; spinal fusion; vascular complications;
D O I
10.1097/00007632-199611010-00021
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design. Case reports. Objectives. Description of neurologic and vascular complications of scoliosis surgery in children and adolescents with Ehlers-Danlos syndrome. Summary of Background Data. There have been no previous reports of neurologic and vascular complications of scoliosis surgery in patients with Ehlers-Danlos syndrome. Scoliosis and vascular fragility are characteristics of certain types of Ehlers-Danlos syndrome. Methods. Case reports and literature review. Results. Subsequent to scoliosis surgery, three patients with Ehlers-Danlos syndrome developed neurologic complications: two developed paraplegia, and one developed unilateral foot and ankle weakness with transient neurogenic bladder. Another patient with Ehlers-Danlos syndrome experienced avulsion of segmental arteries during anterior spinal surgery. Conclusions. Patients with Ehlers-Danlos syndrome may be at high risk for neurologic and vascular complications consequent to scoliosis surgery, necessitating careful perioperative evaluation and management.
引用
收藏
页码:2508 / 2514
页数:7
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