Complications: Posterior Vertebral Column Resection
Kathy M. Blanke, RN
Washington University School of Medicine
St. Louis, MO
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 |
Updated on: 12/10/09
