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KMID : 1143720200160020348
Korean Journal of Neurotrauma
2020 Volume.16 No. 2 p.348 ~ p.354
Anterior Spinal Artery Syndrome Occurring after One Level Segmental Artery Ligation during Spinal Surgery
Kwon John

Choi Byeong-Sam
Kim Hae-Yu
Lee Sung-Joon
Abstract
In treating the ventral pathology of spine, ligating the segmental vessels is sometimes necessary. This may cause spinal cord ischemia, and concerns of neurologic injury have been presented. However, spinal cord ischemic injury after sacrificing segmental vessels during spine surgery is very rare. Reports of this have been scarce in the literature and most of these complications occur after multi-level segmental vessel ligation. Here we report a case of a patient with postoperative anterior spinal artery syndrome, which occurred after ligating one level segmental vessels during spinal surgery for a T8 vertebral pathologic fracture. Despite its rarity, the risk of spinal cord ischemic injury after segmental vessel ligation is certainly present. Surgeons must keep in mind such risk, and surgery should be planned under a careful risk-benefit consideration.
KEYWORD
Spinal cord ischemia, Anterior spinal artery syndrome, Spine, Surgery, Postoperative complication
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