Neurological Deterioration after Hemivertebrectomy for Congenital Thoracic Kyphoscoliosis with Myelopathy: A Case Report

Yuki Matsumoto; Kota Watanabe; Satoshi Suzuki; Satoshi Nori; Osahiko Tsuji; Narihito Nagoshi; Eijiro Okada; Mitsuru Yagi; Nobuyuki Fujita; Masaya Nakamura; Morio Matsumoto

doi:10.2106/JBJS.CC.20.00420

Neurological Deterioration after Hemivertebrectomy for Congenital Thoracic Kyphoscoliosis with Myelopathy: A Case Report

Yuki Matsumoto, Kota Watanabe, Satoshi Suzuki, Satoshi Nori, Osahiko Tsuji, Narihito Nagoshi, Eijiro Okada, Mitsuru Yagi, Nobuyuki Fujita, Masaya Nakamura, Morio Matsumoto

研究成果: ジャーナルへの寄稿 › 学術論文 › 査読

1 被引用数 (Scopus)

抄録

Case:A 14-year-old adolescent boy with congenital kyphoscoliosis with T5 hemivertebra visited our hospital complaining gait disturbance. The T5 hemivertebra was resected posteriorly, and kyphosis at T4 to T7 was corrected from 43° to 36°. However, neurological status gradually deteriorated after surgery. Surgery to reduce kyphosis by bending the rods was performed with intraoperative ultrasonography, which resulted in spinal cord decompression and repulsation of the spinal cord. The muscle strength of the lower extremities improved immediately after surgery.Conclusion:Correction surgery for congenital kyphoscoliosis has high risk of perioperative neurological deterioration. Ultrasonography may be a useful tool for monitoring status of the spinal cord.

本文言語	英語
論文番号	e20.00420
ジャーナル	JBJS Case Connector
巻	11
号	3
DOI	https://doi.org/10.2106/JBJS.CC.20.00420
出版ステータス	出版済み - 16-08-2021
外部発表	はい

All Science Journal Classification (ASJC) codes

外科
整形外科およびスポーツ医学

文献へのアクセス

10.2106/JBJS.CC.20.00420

他のファイルとリンク

引用スタイル

@article{98617ffcae1542aa8ed4c4fbe4163107,

title = "Neurological Deterioration after Hemivertebrectomy for Congenital Thoracic Kyphoscoliosis with Myelopathy: A Case Report",

abstract = "Case:A 14-year-old adolescent boy with congenital kyphoscoliosis with T5 hemivertebra visited our hospital complaining gait disturbance. The T5 hemivertebra was resected posteriorly, and kyphosis at T4 to T7 was corrected from 43° to 36°. However, neurological status gradually deteriorated after surgery. Surgery to reduce kyphosis by bending the rods was performed with intraoperative ultrasonography, which resulted in spinal cord decompression and repulsation of the spinal cord. The muscle strength of the lower extremities improved immediately after surgery.Conclusion:Correction surgery for congenital kyphoscoliosis has high risk of perioperative neurological deterioration. Ultrasonography may be a useful tool for monitoring status of the spinal cord.",

author = "Yuki Matsumoto and Kota Watanabe and Satoshi Suzuki and Satoshi Nori and Osahiko Tsuji and Narihito Nagoshi and Eijiro Okada and Mitsuru Yagi and Nobuyuki Fujita and Masaya Nakamura and Morio Matsumoto",

note = "Publisher Copyright: {\textcopyright} 2021 by the Journal of Bone and Joint Surgery, Incorporated.",

year = "2021",

month = aug,

day = "16",

doi = "10.2106/JBJS.CC.20.00420",

language = "English",

volume = "11",

journal = "JBJS Case Connector",

issn = "2160-3251",

publisher = "Lippincott Williams and Wilkins",

number = "3",

}

TY - JOUR

T1 - Neurological Deterioration after Hemivertebrectomy for Congenital Thoracic Kyphoscoliosis with Myelopathy

T2 - A Case Report

AU - Matsumoto, Yuki

AU - Watanabe, Kota

AU - Suzuki, Satoshi

AU - Nori, Satoshi

AU - Tsuji, Osahiko

AU - Nagoshi, Narihito

AU - Okada, Eijiro

AU - Yagi, Mitsuru

AU - Fujita, Nobuyuki

AU - Nakamura, Masaya

AU - Matsumoto, Morio

PY - 2021/8/16

Y1 - 2021/8/16

N2 - Case:A 14-year-old adolescent boy with congenital kyphoscoliosis with T5 hemivertebra visited our hospital complaining gait disturbance. The T5 hemivertebra was resected posteriorly, and kyphosis at T4 to T7 was corrected from 43° to 36°. However, neurological status gradually deteriorated after surgery. Surgery to reduce kyphosis by bending the rods was performed with intraoperative ultrasonography, which resulted in spinal cord decompression and repulsation of the spinal cord. The muscle strength of the lower extremities improved immediately after surgery.Conclusion:Correction surgery for congenital kyphoscoliosis has high risk of perioperative neurological deterioration. Ultrasonography may be a useful tool for monitoring status of the spinal cord.

AB - Case:A 14-year-old adolescent boy with congenital kyphoscoliosis with T5 hemivertebra visited our hospital complaining gait disturbance. The T5 hemivertebra was resected posteriorly, and kyphosis at T4 to T7 was corrected from 43° to 36°. However, neurological status gradually deteriorated after surgery. Surgery to reduce kyphosis by bending the rods was performed with intraoperative ultrasonography, which resulted in spinal cord decompression and repulsation of the spinal cord. The muscle strength of the lower extremities improved immediately after surgery.Conclusion:Correction surgery for congenital kyphoscoliosis has high risk of perioperative neurological deterioration. Ultrasonography may be a useful tool for monitoring status of the spinal cord.

UR - http://www.scopus.com/inward/record.url?scp=85127198688&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85127198688&partnerID=8YFLogxK

U2 - 10.2106/JBJS.CC.20.00420

DO - 10.2106/JBJS.CC.20.00420

M3 - Article

C2 - 34398838

AN - SCOPUS:85127198688

SN - 2160-3251

VL - 11

JO - JBJS Case Connector

JF - JBJS Case Connector

IS - 3

M1 - e20.00420

ER -

Neurological Deterioration after Hemivertebrectomy for Congenital Thoracic Kyphoscoliosis with Myelopathy: A Case Report

抄録

All Science Journal Classification (ASJC) codes

文献へのアクセス

他のファイルとリンク

フィンガープリント

引用スタイル