Spine · 2014
A rare cause of postoperative paraplegia in minimally invasive spine surgery.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chung Timothy, Thien Christopher, Wang Yi Yuen
Аннотация
STUDY DESIGN: A case report.
OBJECTIVE: To present a patient who underwent a minimally invasive transforaminal lumbar interbody fusion who postoperatively developed paraplegia as a rare complication of a Kirschner wire (K-wire).
SUMMARY OF BACKGROUND DATA: The few complications of K-wires that have been reported include, dural tears and damage to intra-abdominal structures.
METHODS: A case report of a rare complication of a K-wire is reported and the relevant literature was then reviewed.
RESULTS: An 85-year-old female with an anterolisthesis at L4-L5 underwent a minimally invasive transforaminal lumbar interbody fusion. Postoperatively she developed paraplegia. A subdural hematoma from T12 to the sacrum was found and evacuated. It is proposed that this rare complication is a result of a K-wire.
CONCLUSION: Care must be taken with the use of K-wires and additional measures should be carried out such as the marking of its position and radiological confirmation of depth.
LEVEL OF EVIDENCE: 5.
OBJECTIVE: To present a patient who underwent a minimally invasive transforaminal lumbar interbody fusion who postoperatively developed paraplegia as a rare complication of a Kirschner wire (K-wire).
SUMMARY OF BACKGROUND DATA: The few complications of K-wires that have been reported include, dural tears and damage to intra-abdominal structures.
METHODS: A case report of a rare complication of a K-wire is reported and the relevant literature was then reviewed.
RESULTS: An 85-year-old female with an anterolisthesis at L4-L5 underwent a minimally invasive transforaminal lumbar interbody fusion. Postoperatively she developed paraplegia. A subdural hematoma from T12 to the sacrum was found and evacuated. It is proposed that this rare complication is a result of a K-wire.
CONCLUSION: Care must be taken with the use of K-wires and additional measures should be carried out such as the marking of its position and radiological confirmation of depth.
LEVEL OF EVIDENCE: 5.