Neurological complications in adult spinal deformity surgery View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-06-01

AUTHORS

Justin A. Iorio, Patrick Reid, Han Jo Kim

ABSTRACT

The number of surgeries performed for adult spinal deformity (ASD) has been increasing due to an aging population, longer life expectancy, and studies supporting an improvement in health-related quality of life scores after operative intervention. However, medical and surgical complication rates remain high, and neurological complications such as spinal cord injury and motor deficits can be especially debilitating to patients. Several independent factors potentially influence the likelihood of neurological complications including surgical approach (anterior, lateral, or posterior), use of osteotomies, thoracic hyperkyphosis, spinal region, patient characteristics, and revision surgery status. The majority of ASD surgeries are performed by a posterior approach to the thoracic and/or lumbar spine, but anterior and lateral approaches are commonly performed and are associated with unique neural complications such as femoral nerve palsy and lumbar plexus injuries. Spinal morphology, such as that of hyperkyphosis, has been reported to be a risk factor for complications in addition to three-column osteotomies, which are often utilized to correct large deformities. Additionally, revision surgeries are common in ASD and these patients are at an increased risk of procedure-related complications and nervous system injury. Patient selection, surgical technique, and use of intraoperative neuromonitoring may reduce the incidence of complications and optimize outcomes. More... »

PAGES

290-298

References to SciGraph publications

  • 2014-02-23. Classification of degenerative segment disease in adults with deformity of the lumbar or thoracolumbar spine in EUROPEAN SPINE JOURNAL
  • 2015-06-17. Trans-cranial motor evoked potential detection of femoral nerve injury in trans-psoas lateral lumbar interbody fusion in JOURNAL OF CLINICAL MONITORING AND COMPUTING
  • 2008-08-01. Surgical anatomy of the cervical sympathetic trunk during anterolateral approach to cervical spine in EUROPEAN SPINE JOURNAL
  • 2015-12-11. The aim of this retrospective study is to evaluate the efficacy and safety of posterior-only vertebral column resection (PVCR) for the treatment of angular and isolated congenital kyphosis in EUROPEAN SPINE JOURNAL
  • 2014-09-12. Variations of cervical lordosis and head alignment after pedicle subtraction osteotomy surgery for sagittal imbalance in EUROPEAN SPINE JOURNAL
  • 2014-05-20. Patient outcomes after laminotomy, hemilaminectomy, laminectomy and laminectomy with instrumented fusion for spinal canal stenosis: a propensity score-based study from the Spine Tango registry in EUROPEAN SPINE JOURNAL
  • 2005-12. Intraoperative Monitoring of Segmental Spinal Nerve Root Function with Free-Run and Electrically-Triggered Electromyography and Spinal Cord Function with Reflexes and F-Responses in JOURNAL OF CLINICAL MONITORING AND COMPUTING
  • 2015-10-06. Complication rate in adult deformity surgical treatment: safety of the posterior osteotomies in EUROPEAN SPINE JOURNAL
  • 2015-06-07. Compressive myelopathy in severe angular kyphosis: a series of ten patients in EUROPEAN SPINE JOURNAL
  • 2015-04-15. Can triggered electromyography monitoring throughout retraction predict postoperative symptomatic neuropraxia after XLIF? Results from a prospective multicenter trial in EUROPEAN SPINE JOURNAL
  • 2014-05-18. The causes and treatment strategies for the postoperative complications of occipitocervical fusion: a 316 cases retrospective analysis in EUROPEAN SPINE JOURNAL
  • 2014-10-29. Ponte osteotomies in thoracic deformities in EUROPEAN SPINE JOURNAL
  • 2011-12-01. Neurologic deficit following lateral lumbar interbody fusion in EUROPEAN SPINE JOURNAL
  • 2014-04-30. Posterior thoracic osteotomies in EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY
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    http://scigraph.springernature.com/pub.10.1007/s12178-016-9350-y

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