Acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review

Spinal cord infarction (SCI) is a catastrophic neurologic deficit following spine surgery. Because of the opposite management regimens used for SCI and acute epidural hematoma, accurate diagnosis of SCI is of great importance to maximally reserve neurologic functions and improve outcomes. A 21-year-...

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Autores principales:	Shaohui He, Yue Zhang, Yifeng Bi, Haifeng Wei
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7c5d285e36774e949b1cf0c47b0c8af3
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spelling	oai:doaj.org-article:7c5d285e36774e949b1cf0c47b0c8af32021-11-19T01:33:22ZAcute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review1473-230010.1177/03000605211058879https://doaj.org/article/7c5d285e36774e949b1cf0c47b0c8af32021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211058879https://doaj.org/toc/1473-2300Spinal cord infarction (SCI) is a catastrophic neurologic deficit following spine surgery. Because of the opposite management regimens used for SCI and acute epidural hematoma, accurate diagnosis of SCI is of great importance to maximally reserve neurologic functions and improve outcomes. A 21-year-old man developed acute paralysis and sensory deficits of the bilateral lower limbs shortly after undergoing two-stage combined posterior and anterior multilevel en bloc corpectomy. An emergency second-look surgery revealed wide-spectrum blackness of the thecal sac with no signs of an epidural hematoma. The patient underwent anticoagulation therapy, ventilation support, microcirculation perfusion, and fluid optimization. He regained an ambulatory status without other severe complications. Upon discharge, his muscle strength had returned to grade 4 and his Eastern Cooperative Oncology Group performance score had decreased to 0. At the final 48-month follow-up, the implants were in good position without local recurrence, and the patient was able to lead an independent life and work in his full capacity. An epidural hematoma did not appear to be the cause of SCI after spinal tumor surgery in this case; however, SCI was a possible reason for the acute paralysis. Anticoagulation treatment with adjuvant therapies may be an effective option in managing SCI.Shaohui HeYue ZhangYifeng BiHaifeng WeiSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Shaohui He Yue Zhang Yifeng Bi Haifeng Wei Acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review
description	Spinal cord infarction (SCI) is a catastrophic neurologic deficit following spine surgery. Because of the opposite management regimens used for SCI and acute epidural hematoma, accurate diagnosis of SCI is of great importance to maximally reserve neurologic functions and improve outcomes. A 21-year-old man developed acute paralysis and sensory deficits of the bilateral lower limbs shortly after undergoing two-stage combined posterior and anterior multilevel en bloc corpectomy. An emergency second-look surgery revealed wide-spectrum blackness of the thecal sac with no signs of an epidural hematoma. The patient underwent anticoagulation therapy, ventilation support, microcirculation perfusion, and fluid optimization. He regained an ambulatory status without other severe complications. Upon discharge, his muscle strength had returned to grade 4 and his Eastern Cooperative Oncology Group performance score had decreased to 0. At the final 48-month follow-up, the implants were in good position without local recurrence, and the patient was able to lead an independent life and work in his full capacity. An epidural hematoma did not appear to be the cause of SCI after spinal tumor surgery in this case; however, SCI was a possible reason for the acute paralysis. Anticoagulation treatment with adjuvant therapies may be an effective option in managing SCI.
format	article
author	Shaohui He Yue Zhang Yifeng Bi Haifeng Wei
author_facet	Shaohui He Yue Zhang Yifeng Bi Haifeng Wei
author_sort	Shaohui He
title	Acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review
title_short	Acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review
title_full	Acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review
title_fullStr	Acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review
title_full_unstemmed	Acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review
title_sort	acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/7c5d285e36774e949b1cf0c47b0c8af3
work_keys_str_mv	AT shaohuihe acutespinalcordinfarctionaftermultilevelenbloccorpectomyacasereportandliteraturereview AT yuezhang acutespinalcordinfarctionaftermultilevelenbloccorpectomyacasereportandliteraturereview AT yifengbi acutespinalcordinfarctionaftermultilevelenbloccorpectomyacasereportandliteraturereview AT haifengwei acutespinalcordinfarctionaftermultilevelenbloccorpectomyacasereportandliteraturereview
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Acute spinal cord infarction after multilevel en bloc corpectomy: a case report and literature review

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