Skip to main content
SpringerLink
Log in

Anterior spinal artery ischemia syndrome — A possible complication following surgery for the correction of scoliosis

  • Published:
Journal of Tongji Medical University Aims and scope Submit manuscript

Summary

Two cases of anterior spinal artery ischemia syndrome (ASAS) were reported after surgery for the correction of scoliosis in a series of 54 patients and 72 operations. The paraplegia of case 1 was caused by ligation of the segmental vessels. Case 2 developed delayed paraplcgia after correction of kyphoscoliosis including the region from T4 to T9. There were definite clinical manifestations indicating the diagnosis of ASAS, Hyperbaric oxygen and vasodilation therapy was effective and the patients gained satisfactory recovery. The authors recommend a modified technique for the anterior route surgery of sparing the segmental vessels and a more conservative planning for the correction of kyphoscoliosis in the region from T4 to T9.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Burrington JD, et al. Anterior approach to the thoracolumbar spine Technical considerations. Arch Surg 1976; 111: 456–63.

    PubMed  CAS  Google Scholar 

  2. Dommisse GF. The blood supply of the spinal cord. A critical vascular zone in spinal surgery. J Bone Joint Surg (Br) 1974s 56: 225–35.

    CAS  Google Scholar 

  3. Dwyer AF, Schafer MF. Anterior approach to scoliosis: Result of t eatment in fifty-one cases. J Bone Joint Surg (Br) 1974; 56: 218–24.

    CAS  Google Scholar 

  4. Johnston CE, et al. Delayed paraplegia complicating sublaminar segmentai instrumentation. J Bone Joint Surg (Am) 1986; 68: 556–63.

    Google Scholar 

  5. Rothman RH. The Spine. 2nd ed. Philadelphia, Saunders, 1982: 147–71.

    Google Scholar 

  6. Schneider RC, Artor A. Transposition of the compressed spinal cord in kyphoscoliotic patients with neurological deficit-With special reference to the vascular supply of the cord. J Bone Joint Surg (Am) 1960; 42: 1027–39.

    Google Scholar 

  7. Winter RB, et al. Congenital kyphosis, its natural history and treatment as observed in a study of one hundred and thirty patients. J Bone Joint Surg (Am) 1973; 55: 223–56.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedics, First Hunan Hospital, Medical University, Changsha, Hunan

    Li Hai-ping & Zhou Jiang-nan

Authors
  1. Li Hai-ping
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Zhou Jiang-nan
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hai-ping, L., Jiang-nan, Z. Anterior spinal artery ischemia syndrome — A possible complication following surgery for the correction of scoliosis. Journal of Tongji Medical University 8, 182–185 (1988). https://doi.org/10.1007/BF02887845

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02887845

Key words

Search

Navigation