Intraoperative total spinal anesthesia as a complication of posterior percutaneous endoscopic cervical discectomy
- 268 Downloads
Percutaneous endoscopic cervical discectomy (PECD) is an emerging surgical treatment for cervical disc herniation in recent years, but the complications of PECD are rarely reported. In this case report, we aimed to report two cases of total spinal anesthesia, an unusual complication of PECD.
Methods and Results
One patient became unconscious with unstable vital signs and another patient appeared with numbness of both arms and legs during PECD operation.
From these two cases, we concluded that the operation of anchoring during PECD should be cautious and standardized, intravenous anesthesia should be chosen to enhance intraoperative anesthesia to prevent intraoperative total spinal anesthesia.
KeywordsTotal spinal anesthesia Complication Endoscopic Cervical discectomy
Funding was provided by Chongqing Municipal Public Health Bureau, Chongqing People’s Municipal Government (CN), Award number: 2017ZDXM031.
Compliance with ethical standards
Conflict of interest
None of the authors has any potential conflict of interest.
- 3.Ruetten S, Komp M, Merk H, Godolias G (2008) Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes: a prospective, randomized, controlled study. Spine (Phila Pa 1976) 33(9):940–948. https://doi.org/10.1097/brs.0b013e31816c8b67 CrossRefGoogle Scholar
- 4.Ruetten S, Komp M, Merk H et al (2007) A new full-endoscopic technique for cervical posterior foraminotomy in the treatment of lateral disc herniations using 6.9-mm endoscopes: prospective 2-year results of 87 patients. Minim Invasive Neurosurg 50(4):219–226. https://doi.org/10.1055/s-2007-985860 CrossRefPubMedGoogle Scholar
- 13.Musaid RA, Naranjo TM (2006) Spinal block complications in obstetrics and gynecology patients. Neurosciences (Riyadh) 11(3):140–144Google Scholar
- 18.Albi-Feldzer A, Duceau B, Nguessom W et al (2016) A severe complication after ultrasound-guided thoracic paravertebral block for breast cancer surgery: total spinal anaesthesia: A case report. Eur J Anaesthesiol 33(12):949–951. https://doi.org/10.1097/eja.0000000000000536 CrossRefPubMedGoogle Scholar