Evolution of neurological complications in spinal deformity surgery in children
DOI:
https://doi.org/10.15417/412Keywords:
Spinal deformities, Neurological complications, SurgeryAbstract
Background: A retrospective descriptive study was performed to assess the outcome of neurological complications due to kyphosis or scoliosis surgery in children.
Methods: Nine patients who suffered neurological complication during kyphosis and/or scoliosis deformity surgery operated on our institution from May 2003 to June 2013 were evaluated.
Results: Etiologies observed were: 4 idiopathic scolioses, 2 congenital scolioses, one associated with neurofibromatosis type 1, one idiopathic kyphosis and one myofibrosarcomatosis post-laminectomy surgery. Five patients presented intraoperative neurological changes. All patients needed at least a second surgical intervention to solve the spine deformity. The topographic classification of the neurological injury was: radicular injury (one patient); spinal cord injury (8 patients), 6 presented complete spinal injury (75%) which manifested with bilateral paresis and 2 patients (25%) suffered an incomplete spinal injury with monoparesis, only 2 stayed with neurogenic bladder.
Conclusion: Early detection of a neurological complication, its etiological diagnosis and surgical resolution improve neurological outcome, avoiding or reducing its sequel.
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