Paraplegia following surgical correction of scoliosis with Cotrel-Dubousset instrumentation

Bull Hosp Jt Dis. 1995;54(1):32-4.

Abstract

Three patients with paraplegia following corrective surgery for idiopathic scoliosis, using the Cotrel-Dubousset (CD) instrumentation, were admitted to our department over a period of 22 months. They were operated on by three different surgeons and they were the first serious neurological complications in these surgeons' careers. The monitoring method was the "wake-up" test, applied at the end of the correction maneuver with the instrument. One patient presented paraplegia at the "wake-up" test and the other two were paraplegic shortly after ceasing anesthesia. Electrophysiological spinal cord monitoring during surgery may reduce the risks of complications.

MeSH terms

  • Adolescent
  • Female
  • Humans
  • Internal Fixators / adverse effects*
  • Intraoperative Period
  • Male
  • Monitoring, Physiologic
  • Paraplegia / etiology*
  • Paraplegia / prevention & control
  • Postoperative Complications / etiology*
  • Scoliosis / surgery*
  • Spinal Cord / physiology