Treatment

Complications: Posterior Vertebral Column Resection

Lawrence G. Lenke, MD
The Jerome J. Gilden Professor of Orthopedic Surgery
Co-Chief Pediatric & Adult Spinal, Scoliosis & Reconstructive Surgery
St. Louis, MO
Brenda Sides, M.S.
Washington University School of Medicine
St. Louis, MO
Linda Koester, BS
Washington University School of Medicine
St. Louis, MO
Marsha Hensley, RN
Shrinters Hospital for Children
St. Louis, MO
Kathy M. Blanke, RN
Washington University School of Medicine
St. Louis, MO

Scoliosis Research Society Paper #13
42nd Annual Meeting
Edinburgh, Scotland
September 5-8, 2007

Table 3 - Complications of 43 Patients

Pt. # Dx. Intraoperative Postoperative
12 SS None None
17 SS None Diarrhea PO day 5, (+) for C-diff; AB given
28 SS None None
33 SS None None
34 SS None None
36 SS None None
40 SS None None
10 GK NMEP loss/larger cage placed/ subluxation reduced None
15 GK None Respiratory distress requiring emergency tracheostomy
21 GK No SCM possible; failed wake-up test/ larger cage placed Bilateral LE subjective "numbness" - subsided by 1 month PO; 4/5 EHL X 1 week
23 GK None (L) pulmonary effusion - resolved
24 GK None None
26 GK None Pleural effusion - started diuretics - resolved
27 GK None None
29 GK None None
37 GK None None
39 GK None Respiratory failure - re-intubation required x2 days
41 GK None None
42 GK None None
3 AK None None
4 AK None None
5 AK None DVT (R) leg; Leovenox therapy
6 AK None None
7 AK None None
9 AK No SCM None
11 AK NMEP loss/ larger cage placed None
13 AK (L) quad palsy noted on wake-up test; (L) L2-L3 roots re-explored Decreased strength (L) quad - normal by 6 mos. PO
18 AK None None
43 AK None None
1 KS None None
2 KS None None
8 KS None Prolonged ileus
14 KS None None
16 KS None Tongue swelling; small area of necrosis - resolved
19 KS None Pleural effusion, no CT needed
20 KS None 4 days in ICU secondary to low blood pressure, (L) pleural effusion - resolved
22 KS None None
25 KS NMEP loss/ reduced subluxation Respiratory failure - mechanical vent x4 days
30 KS None None
31 KS None None
32 KS None None
35 KS NMEP loss/ reduced subluxation Brachial plexus palsy - resolved by 6 weeks PO
38 KS NMEP/SSEP loss; failed wake-up test; (R) LE procedure aborted; NL final wake-up test (L) pleural effusions requiring bilateral chest tube placement
Last Updated: 11/26/2007
Continue Reading: Neurologic Status: Vertebral Column Resection (VCR) for Severe Pediatric and Adult Spinal Deformity
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