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  1. Major intraoperative neurologic deficits in pediatric and adult spinal deformity patients incidence and etiology at one institution.

    Article, Communication - En anglais

    Annual Meeting of the Scoliosis Research Society - Annual Meeting of the North American Spine Society - Annual Meeting of the American Academy of Orthopaedic Surgeons. Ottawa, ON, CAN ; Vancouver, BC, CAN ; San Francisco, CA, USA, 1996/09/25 - 1996/10/23 - 1997/02/13.

    Study Design

    A retrospective study of 1,090 patients undergoing corrective spinal deformity surgery for scoliosis (n=920), kyphosis (n=77), or a combination of the two (n=93) one institution.

    Objectives

    To ascertain the etiologies and incidence of neurologic deficits occurring at the time of surgery. of Background Data.

    Potential etiologies of intraoperative neurologic deficits include cord compression, overdistraction, purely vascular, or a combination.

    Methods

    The study group included only patients with useful function of their lower extremities and normal bowel and bladder control, and patients whose surgeries were in spinal cord territory as opposed to purely cauda equina territory.

    Results

    There were four major neurologic deficits that occurred during surgery.

    Three of the four deficits were purely vascular in etiology.

    The fourth may have had a vascular and mechanical etiology.

    All four patients had anterior and posterior surgery with harvesting of the unilateral convex segmental vessels, and each had a component of hyperkyphosis, as well as intraoperative controlled hypotension.

    All four patients showed marKed improvement of motor weakness with time.

    Conclusions

    Significant risk factors were combined anterior and posterior surgery (P=0.009) and hyperKyphosis (P=0.0006).

    Mots-clés Pascal : Scoliose, Enfant, Homme, Adulte, Cyphose, Traitement, Technique, Instrumentation, Complication, Indice gravité, Trouble neurologique, Peropératoire, Etiologie, Epidémiologie, Incidence, Rachis, Rachis dorsal, Système ostéoarticulaire pathologie, Rachis pathologie, Déformation, Chirurgie orthopédique, Système nerveux pathologie

    Mots-clés Pascal anglais : Scoliosis, Child, Human, Adult, Kyphosis, Treatment, Technique, Instruments, Complication, Severity score, Neurological disorder, Intraoperative, Etiology, Epidemiology, Incidence, Spine, Dorsal spine, Diseases of the osteoarticular system, Spine disease, Deformation, Orthopedic surgery, Nervous system diseases

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    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0138432

    Code Inist : 002B25I. Création : 21/07/1998.