Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery

  • Bredow J
  • Oppermann J
  • Keller K
  • et al.
N/ACitations
Citations of this article
21Readers
Mendeley users who have this article in their library.

This article is free to access.

Abstract

Background Context . Percutaneous balloon kyphoplasty is an established minimally invasive technique to treat painful vertebral compression fractures, especially in the context of osteoporosis with a minor complication rate. Purpose . To describe the heparin anticoagulation treatment of paraplegia following balloon kyphoplasty. Study Design . We report the first case of an anterior spinal artery syndrome with a postoperative reversible paraplegia following a minimally invasive spine surgery (balloon kyphoplasty) without cement leakage. Methods . A 75-year-old female patient underwent balloon kyphoplasty for a fresh fracture of the first vertebra. Results . Postoperatively, the patient developed an acute anterior spinal artery syndrome with motor paraplegia of the lower extremities as well as loss of pain and temperature sensation with retained proprioception and vibratory sensation. Complete recovery occurred six hours after bolus therapy with 15.000 IU low-molecular heparin. Conclusion . Spine surgeons should consider vascular complications in patients with incomplete spinal cord syndromes after balloon kyphoplasty, not only after more invasive spine surgery. High-dose low-molecular heparin might help to reperfuse the Adamkiewicz artery.

Cite

CITATION STYLE

APA

Bredow, J., Oppermann, J., Keller, K., Beyer, F., Boese, C. K., Zarghooni, K., … Siewe, J. (2014). Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery. Case Reports in Orthopedics, 2014, 1–4. https://doi.org/10.1155/2014/205732

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free