Abdominal complications following posterior spinal fusion in patients with previous abdominal surgeries

2011 ◽  
Vol 31 (4) ◽  
pp. E16 ◽  
Author(s):  
Patrick Shih ◽  
Nicholas P. Slimack ◽  
Anil Roy ◽  
Richard G. Fessler ◽  
Tyler R. Koski
Keyword(s):  
Abdominal Surgery ◽  
Spinal Fusion ◽  
Prone Position ◽  
Perioperative Period ◽  
Posterior Spinal Fusion ◽  
Physiological Changes ◽  
Abdominal Complications ◽  
Abdominal Complication ◽  
History Of ◽  
Spinal Fusions

Perioperative abdominal complications associated with spine surgery are rare. Although most known abdominal complications occur in conjunction with anterior spinal fusions, there is a paucity of reports reviewing abdominal complications occurring with posterior spinal fusions. The authors review 4 patients who experienced a perioperative abdominal complication following a posterior spinal fusion. In each of these patients, a history of abdominal surgery is present. Given the physiological changes that occur with surgery in the prone position, patients with previous abdominal surgeries are at risk for developing abdominal complications in the perioperative period.

Severe Hypotension Associated With the Prone Position in a Child With Scoliosis and Pectus Excavatum Undergoing Posterior Spinal Fusion

2008 ◽  
Vol 21 (6) ◽  
pp. 451-454 ◽  
Author(s):  
Blane T. Bafus ◽  
Devi Chiravuri ◽  
Mary E. van der Velde ◽  
Benjamin I. Chu ◽  
Ronald Hirshl ◽  
...  
Keyword(s):  
Spinal Fusion ◽  
Prone Position ◽  
Pectus Excavatum ◽  
Posterior Spinal Fusion ◽  
Severe Hypotension

scholarly journals Huge Intra-abdominal Meningocele in a Patient With Neurofibromatosis 1 With Previous Posterior Spinal Fusion and Instrumentation Due to Severe Scoliosis

2019 ◽  
Vol 6 (4) ◽  
pp. 31-34
Author(s):  
Khodakaram Rastegar ◽  
◽  
Misagh Eiji ◽  
Hasan Ghandhari ◽  
Naveed Nabizadeh ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Spinal Fusion ◽  
Neurofibromatosis Type ◽  
Posterior Spinal Fusion ◽  
Anterior Wall ◽  
Severe Scoliosis ◽  
Special Cases ◽  
Patient Reported ◽  
History Of ◽  
Elective Procedure

Introduction: Anterior Lumbar Meningoceles (MCs) are rare in the patient with Neurofibromatosis type 1 (NF1). Although spinal fusion with optimal resection of the meningocele might be indicated in these special cases, no report could completely describe a huge meningocele after posterior spinal instrumented fusion. Case Presentation: Here we present a 23 years old woman with a history of NF-1 and ‬previous posterior spinal fusion, who was referred to the neurosurgery department because of abdominal pain and retroperitoneal mass secondary to large anterior lumbar MC. The MC was filling the retroperitoneal cavity and protruded to the anterior wall of abdomen. ‬‬‬‬‬As an elective procedure, reduction and closure of cyst was achieved through posterior approach. Postoperatively, the patient reported satisfactory relief of abdominal pain. Conclusion: Lumbar anterior MC is rare in the patients with NF1. When surgical intervention is indicated, ‬reduction of cele should be considered.

scholarly journals Solitary osteochondroma of the cervical spine presenting with quadriparesis and hand contracture

2020 ◽  
Vol 11 ◽  
pp. 51
Author(s):  
Camille K. Milton ◽  
Kyle P. O’Connor ◽  
Adam D. Smitherman ◽  
Andrew K. Conner ◽  
Michael D. Martin
Keyword(s):  
Cervical Spine ◽  
Spinal Fusion ◽  
Posterior Spinal Fusion ◽  
Benign Tumors ◽  
Hereditary Multiple Exostoses ◽  
Cervical Laminectomy ◽  
Canal Stenosis ◽  
Multiple Exostoses ◽  
Solitary Osteochondroma ◽  
History Of

Background: Spinal osteochondromas are rare, benign tumors arising from the cartilaginous elements of the spine that may appear as solitary lesions versus multiple lesions in patients with hereditary multiple exostoses. Here, we present a 15-year-old female with a solitary C3-C4 osteochondroma who presented with a progressive quadriparesis and hand contracture successfully managed with a laminectomy/posterior spinal fusion. Case Description: A 15-year-old female presented with a 3-month history of progressive quadriparesis and hand contracture secondary to a magnetic resonance (MR) documented C3-C4 cervical spine osteochondroma. The MR imaging revealed a solitary osseous extramedullary outgrowth arising from the left laminar cortex of the C-3 vertebral body extending to C-4. Due to the marked resultant canal stenosis, the patient underwent a cervical laminectomy of C3- C4 with posterior spinal fusion. Gross total resection was achieved, and the pathology confirmed an osteochondroma. The patient’s myelopathy resolved, and 2 years later, she demonstrated no residual deficits or tumor recurrence. Conclusion: Here, we report the successful management of a 15-year-old female with a C3-C4 osteochondroma and progressive quadriparesis through cervical laminectomy/fusion.

Emergency Department Visits After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis

2019 ◽  
Vol 40 (7) ◽  
pp. e629-e633
Author(s):  
Andrew B. Harris ◽  
Majd Marrache ◽  
Varun Puvanesarajah ◽  
Micheal Raad ◽  
Richard L. Skolasky ◽  
...  
Keyword(s):  
Emergency Department ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Posterior Spinal Fusion ◽  
Emergency Department Visits

Incidence of Pleural Fluid and Its Associated Risk Factors After Posterior Spinal Fusion in Patients With Adolescent Idiopathic Scoliosis

Spine ◽  
2017 ◽  
Vol 42 (8) ◽  
pp. 603-609 ◽  
Author(s):  
Kazunori Hayashi ◽  
Hidetomi Terai ◽  
Hiromitsu Toyoda ◽  
Akinobu Suzuki ◽  
Masatoshi Hoshino ◽  
...  
Keyword(s):  
Risk Factors ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Pleural Fluid ◽  
Posterior Spinal Fusion ◽  
Associated Risk Factors

scholarly journals Predictive factors for intraoperative blood loss in surgery for adolescent idiopathic scoliosis

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chris Yuk Kwan Tang ◽  
Vijay H. D. Kamath ◽  
Prudence Wing Hang Cheung ◽  
Jason Pui Yin Cheung
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Blood Loss ◽  
Idiopathic Scoliosis ◽  
Spinal Fusion ◽  
Predictive Factors ◽  
Posterior Spinal Fusion ◽  
Male Gender ◽  
Intraoperative Blood Loss ◽  
Operative Blood Loss ◽  
Operation Duration

Abstract Background Adolescent idiopathic scoliosis (AIS) is a common spinal deformity. Posterior spinal fusion remains an important surgical treatment for AIS. This study aims to determine the predictive factors for intraoperative blood loss in AIS surgery. Methods Patients who had undergone posterior spinal fusion for adolescent idiopathic scoliosis in a single university hospital were reviewed over a 7-year period. Predictive factors for intra-operative blood loss were studied by multivariate analysis to derive a regression model. Receiver operating characteristic analysis was performed to determine the cut-off values of factors contributing to significant intraoperative blood loss (≥500 ml). Results Two hundred and twelve patients were included. Intraoperative blood loss was found to be correlated with gender (rs = 0.30 (0.17–0.43)), preoperative hemoglobin level (rs = 0.20 (0.04–0.31)), preoperative Cobb angle (rs = 0.20 (0.02–0.29)), number of fused levels (rs = 0.46 (0.34–0.58)), operation duration (rs = 0.65 (0.54–0.75)), number of anchors (rs = 0.47 (0.35–0.59)), and p-value ranged from < 0.001 to < 0.05. Significant intraoperative blood loss was influenced by the male gender, operation duration greater than 257.5 min and more than 10 anchors used. Conclusions Male gender, increased operation duration and higher number of anchors predicted higher intra-operative blood loss.

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