Evolution of neurological complications in spinal deformity surgery in children

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Miguel A. Godoy
Carlos A. Tello
Ida A. Francheri
Mariano Noel
Eduardo Galaretto
Rodrigo Remondino
Ernesto S. Bersusky

Abstract

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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How to Cite
Godoy, M. A., Tello, C. A., Francheri, I. A., Noel, M., Galaretto, E., Remondino, R., & Bersusky, E. S. (2015). Evolution of neurological complications in spinal deformity surgery in children. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(1), 43-52. https://doi.org/10.15417/412
Section
Clinical Research
Author Biographies

Miguel A. Godoy, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Carlos A. Tello, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Ida A. Francheri, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Mariano Noel, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Eduardo Galaretto, Hospital de Pediatría SAMIC "Prof Juan Pedro Garrahan"

Servicio de Patología Espinal

Rodrigo Remondino, Servicio de Patología Espinal

Servicio de Patología Espinal

Ernesto S. Bersusky, Servicio de Patología Espinal

Servicio de Patología EspinalJefe de Servicio

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