Skip to main content

Advertisement

SpringerLink
Log in

Complicanze vascolari o neurologiche nella chirurgia multisettoriale della colonna

Vascular and neurogical complications in correction of spine deformities

  • Aggiornamenti
  • Published:
LO SCALPELLO-OTODI Educational

Abstract

Spine surgery for correction of scoliosis and kyphosis is insidious. It involves operating on different segments of the spine at the same time and this may create peculiar problems to the surgeon. The positioning of patients on the surgical table is important; the potential risks of neurological damage and of vascular injuries we can observe during such kind of operation are then discussed.

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

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

Bibliografia

  1. Weiss HR, Goodall D (2008) Rate of complications in scoliosis surgery—a systematic review of the Pub Med literature. Scoliosis 3:9

    Article  PubMed Central  PubMed  Google Scholar 

  2. Hamilton DK, Smith JS, Sansur CA et al. (2011) Rates of new neurological deficit associated with spine surgery based on 108,419 procedures: a report of the scoliosis research society morbidity and mortality committee. Spine 36:1218–1228

    Article  PubMed  Google Scholar 

  3. Batson OV (1940) The function of the vertebral veins and their role in the spread of metastases. Ann Surg 112:138–149

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Lee LA, Newman NJ, Wagner TA et al. (2010) Postoperative ischemic optic neuropathy. Spine 35(9):105–116

    Article  CAS  Google Scholar 

  5. Patil C, Lad E, Lad S et al. (2010) Visual loss after spine surgery: a population-based study. Spine 33:1491–1496

    Article  Google Scholar 

  6. Myers M, Hamilton S, Bogosian AJ et al. (1997) Visual loss as a complication of spine surgery. A review of 37 cases. Spine 22:1325–1329

    Article  CAS  PubMed  Google Scholar 

  7. Chang SH, Miller NR (2005) The incidence of vision loss due to perioperative ischemic optic neuropathy associated with spine surgery: the Johns Hopkins hospital experience. Spine 30:1299–1302

    Article  PubMed  Google Scholar 

  8. Stevens WR, Glazer PA, Kelley SD et al. (1997) Ophtalmic complications after spinal surgery. Spine 22:1319–1324

    Article  CAS  PubMed  Google Scholar 

  9. Büdinger K (1894) Ueber Lähmungen nach Chloroformnarkosen. Arch Klein Chir 47:121

    Google Scholar 

  10. Parks BJ (1973) Postoperative peripheral neuropathies. Surgery 74:348–357

    CAS  PubMed  Google Scholar 

  11. Uribe JS, Kolla J, Omar H et al. (2010) Brachial plexus injury following spinal surgery. J Neurosurg Spine 13:552–558

    Article  PubMed  Google Scholar 

  12. Schonauer C, Bocchetti A, Barbagallo G et al. (2004) Positioning on surgical table. Eur Spine J 13(Suppl 1):50–55

    Article  Google Scholar 

  13. Chung I, Glow JA, Dimopoulos V et al. (2009) Upper-limb somatosensory evoked potential monitoring in lumbosacral spine surgery: a prognostic marker for position-related ulnar nerve injury. Spine J 9:287–295

    Article  PubMed  Google Scholar 

  14. Lorenzini NA, Poterack KA (1996) Somatosensory evoked potentials are not a sensitive indicator of potential positioning injury in the prone patient. J Clin Monit 12:171–176

    Article  CAS  PubMed  Google Scholar 

  15. Mirovsky Y, Neuwirth M (2000) Injuries to the lateral femoral cutaneous nerve during spine surgery. Spine 25:1266–1269

    Article  CAS  PubMed  Google Scholar 

  16. Gould DB, Cunningham K (1994) Internal carotid artery dissection after remote surgery. Iatrogenic complications of anesthesia. Stroke 25:1276–1278

    Article  CAS  PubMed  Google Scholar 

  17. Transfeldt EE (1995) Complications of treatment. In: Lonstein J, Bradford D, Winter R, Ogilvie J (eds) Moe’s textbook of scoliosis and other spinal deformities. 3. Saunders, Philadelphia, pp 451–482

    Google Scholar 

  18. Rittmeister M, Leyendecker K, Kurth A, Schmitt E (1999) Cauda equina compression due to a laminar hook: a late complication of posterior instrumentation in scoliosis surgery. Eur Spine J 8:417–420

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  19. Krödel A, Rehmet JC, Hamburger C (1997) Spinal cord compression caused by the rod of a Harrington instrumentation device: a late complication in scoliosis surgery. Eur Spine J 6:208–210

    Article  PubMed Central  PubMed  Google Scholar 

  20. Early SD, Kay RM, Maguire MF, Skaggs DL (2003) Delayed neurologic injury due to bone graft migration into the spinal canal following scoliosis surgery. Orthopedics 26:515–516

    PubMed  Google Scholar 

  21. Harrington PR (1962) Treatment of scoliosis. Correction and internal fixation by spine instrumentation. J Bone Jt Surg Am 44:591–610

    Google Scholar 

  22. Cotrel Y, Dubousset J (1984) Nouvelle technique d’ostheosynthèse rachidienne sègmentaire par voie postèrieure. Rev Chir Orthop 70:489–495

    CAS  PubMed  Google Scholar 

  23. Vauzelle C, Stagnara P, Jouvinroux P (1973) Functional monitoring of spinal cord activity during spinal surgery. Clin Orthop Relat Res 93:173–178

    Article  PubMed  Google Scholar 

  24. Papin P, Arlet V, Marchesi D et al. (1999) Unusual presentation of spinal cord compression related to misplaced pedicle screws in thoracic scoliosis. Eur Spine J 8:156–159

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  25. Luque ER, Cardoso A (1977) Segmental correction of scoliosis with rigid internal fixation: preliminary report. Orthop Trans 1:136–137

    Google Scholar 

  26. Dove J (1986) Internal fixation of the lumbar spine. The Hartshill rectangle. Clin Ortop Relat Res 203:135–140

    Google Scholar 

  27. Reames DL, Smith JS, Fu KM et al. (2011) Complications in the surgical treatment of 19,360 cases of pediatric scoliosis: a review of the scoliosis research society morbidity and mortality database. Spine 36:1484–1491

    Article  PubMed  Google Scholar 

  28. Nash CL Jr, Lorig RA, Schatzinger LA, Brown RH (1977) Spinal cord monitoring during operative treatment of the spine. Clin Orthop Relat Res 126:100–105

    PubMed  Google Scholar 

  29. Sutter M, Deletis V, Dvorak J et al. (2007) Current opinions and recommendations on multimodal intraoperative monitoring during spine surgeries. Eur Spine J 16(Suppl 2):232–237

    Article  PubMed Central  Google Scholar 

  30. Nuwer MR, Dawson EG, Carlson LG et al. (1995) Somatosensory evoked potential spinal cord monitoring reduces neurologic deficits after scoliosis surgery: results of a large multicenter survey. Electroencephalogr Clin Neurophysiol 96:6–11

    Article  CAS  PubMed  Google Scholar 

  31. Flynn JM, Sakai DS (2013) Improving safety in spinal deformity surgery: advances in navigation and neurologic monitoring. Eur Spine J 22(Suppl 2):131–137

    Article  PubMed Central  Google Scholar 

  32. Rokito SE, Schwartz MC, Neuwirth MG (1996) Deep vein thrombosis after major reconstructive spinal surgery. Spine 21:853–858

    Article  CAS  PubMed  Google Scholar 

  33. Schoenfeld AJ, Herzog JP, Dunn JC et al. (2013) Patient-based and surgical characteristics associated with the acute development of deep venous thrombosis and pulmonary embolism after spine surgery. Spine 38:1892–1898

    Article  PubMed  Google Scholar 

  34. Sansone JM, Del Rio AM, Anderson PA (2010) The prevalence of and specific risk factors for venous thromboembolic disease following elective spine surgery. J Bone Jt Surg Am 92:304–313

    Article  Google Scholar 

  35. Randelli F, Romanini E, Biggi F et al. (2013) II Italian intersociety consensus statement on antithrombotic prophylaxis in orthopaedics and traumatology: arthroscopy, traumatology, leg immobilization, minor orthopaedic procedures and spine surgery. J Orthop Traumatol 14:1–13

    Article  CAS  PubMed Central  PubMed  Google Scholar 

Download references

Conflitto di interesse

Nessuno.

Author information

Authors and Affiliations

  1. S.O.C. Ortopedia e Traumatologia, ASL CN2, Osp. San Lazzaro, Alba, CN, Italy

    Victor Rosso

Authors
  1. Victor Rosso
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Victor Rosso.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rosso, V. Complicanze vascolari o neurologiche nella chirurgia multisettoriale della colonna. LO SCALPELLO 28, 13–20 (2014). https://doi.org/10.1007/s11639-014-0055-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11639-014-0055-y

Search

Navigation