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KMID : 0356920070520040471
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Korean Journal of Anesthesiology
2007 Volume.52 No. 4 p.471 ~ p.474
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Spinal Cord Infarction following Spine Surgery in the Patient with Vertebral Bursting Fracture ?A case report?
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Park Sang-Jin
Jung Hyun-Chul
Jee Dae-Lim
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Abstract
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Spinal cord infarction as a complication of spine surgery occurs rarely. Herein, a case of spinal cord infarction, which developed in a 69 year old woman following posterior decompression and internal fixation for a T11 bursting fracture, is descirbed. The anesthetic induction and intraoperative course were uneventful, except at the end of the procedure, where her blood pressure suddenly dropped from 130/90 to 90/60 mmHg. The patient was aggressively treated with a transfusion and vasopressor, the blood pressure then returned to its usual value within 10 minutes. However, during a physical examination in the recovery room, the patient was found to have flaccid lower limbs, with impaired sensory function below the T8 level. Her cord diameter had increased, and a high signal lesion was observed within the thoracic spinal cord, from T9 to T12 level on T2-weighted MR images, which was diagnosing as a spinal cord infarction, was and showed no improvement despite the immediate and aggressive treatment. (Korean J Anesthesiol 2007; 52: 471∼4)
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KEYWORD
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spinal cord infarction, spine surgery
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