Cervical spinal cord injury after thoracic spinal instrumentation: A case series

Sylvester T. Youlo, Michael T. Merrick, Jeffrey A. Cassidy, Matthew A. Halanski

Research output: Contribution to journalArticle

Abstract

STUDY DESIGN.: Retrospective case report of 2 cases. OBJECTIVE.: To describe 2 cases of cervical spinal cord injury/vascular insult after posterior instrumentation of thoracic/thoracolumbar scoliosis. SUMMARY OF BACKGROUND DATA.: Spinal cord injury is an uncommon but well-documented complication associated with spinal deformity surgery. The midthoracic spinal cord is most vulnerable to these presumed vascular insults. Injuries above the level of instrumentation are rare. METHODS.: In this report, we review the clinical histories of 2 adolescent females undergoing posterior spinal fusion with subsequent cervical spinal cord injuries. RESULTS.: In both cases, intraoperative cervical alignment appeared neutral and all hardware appeared appropriately positioned. Spinal cord monitoring demonstrated changes in 1 patient but not in the other. With time, both patients improved clinically. CONCLUSION.: Cervical spinal cord injuries may occur after distal deformity correction.

Original languageEnglish (US)
Pages (from-to)E1704-E1708
JournalSpine
Volume38
Issue number26
DOIs
StatePublished - Dec 15 2013

Fingerprint

Spinal Cord Injuries
Thorax
Blood Vessels
Spinal Cord
Spinal Fusion
Scoliosis
Cervical Cord
Wounds and Injuries

Keywords

  • adolescent
  • cervical
  • complication
  • deformity
  • paralysis
  • pediatrics
  • posterior spinal fusion
  • scoliosis
  • spinal cord injury

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

Cervical spinal cord injury after thoracic spinal instrumentation : A case series. / Youlo, Sylvester T.; Merrick, Michael T.; Cassidy, Jeffrey A.; Halanski, Matthew A.

In: Spine, Vol. 38, No. 26, 15.12.2013, p. E1704-E1708.

Research output: Contribution to journalArticle

Youlo, Sylvester T. ; Merrick, Michael T. ; Cassidy, Jeffrey A. ; Halanski, Matthew A. / Cervical spinal cord injury after thoracic spinal instrumentation : A case series. In: Spine. 2013 ; Vol. 38, No. 26. pp. E1704-E1708.
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