Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery
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 fol...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/205732 |
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| author | J. Bredow J. Oppermann K. Keller F. Beyer C. K. Boese K. Zarghooni R. Sobottke P. Eysel J. Siewe |
| author_facet | J. Bredow J. Oppermann K. Keller F. Beyer C. K. Boese K. Zarghooni R. Sobottke P. Eysel J. Siewe |
| author_sort | J. Bredow |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a58bdaeff3264352a22ec3dac2327d2c |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-a58bdaeff3264352a22ec3dac2327d2c2025-02-03T06:47:55ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/205732205732Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine SurgeryJ. Bredow0J. Oppermann1K. Keller2F. Beyer3C. K. Boese4K. Zarghooni5R. Sobottke6P. Eysel7J. Siewe8Department of Orthopedics and Trauma Surgery, ZKS (BMBF 01KN1106), University Hospital of Cologne, Kerpener Straße 62, 50924 Cologne, GermanyDepartment of Orthopedics and Trauma Surgery, ZKS (BMBF 01KN1106), University Hospital of Cologne, Kerpener Straße 62, 50924 Cologne, GermanyDepartment of Orthopedics and Trauma Surgery, ZKS (BMBF 01KN1106), University Hospital of Cologne, Kerpener Straße 62, 50924 Cologne, GermanyDepartment of Orthopedics and Trauma Surgery, ZKS (BMBF 01KN1106), University Hospital of Cologne, Kerpener Straße 62, 50924 Cologne, GermanyDepartment of Orthopedics and Trauma Surgery, ZKS (BMBF 01KN1106), University Hospital of Cologne, Kerpener Straße 62, 50924 Cologne, GermanyDepartment of Orthopedics and Trauma Surgery, ZKS (BMBF 01KN1106), University Hospital of Cologne, Kerpener Straße 62, 50924 Cologne, GermanyDepartment of Orthopedics, Medical Center City Aachen GmbH, 52146 Würselen, GermanyDepartment of Orthopedics and Trauma Surgery, ZKS (BMBF 01KN1106), University Hospital of Cologne, Kerpener Straße 62, 50924 Cologne, GermanyDepartment of Orthopedics and Trauma Surgery, ZKS (BMBF 01KN1106), University Hospital of Cologne, Kerpener Straße 62, 50924 Cologne, GermanyBackground 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.http://dx.doi.org/10.1155/2014/205732 |
| spellingShingle | J. Bredow J. Oppermann K. Keller F. Beyer C. K. Boese K. Zarghooni R. Sobottke P. Eysel J. Siewe Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery Case Reports in Orthopedics |
| title | Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery |
| title_full | Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery |
| title_fullStr | Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery |
| title_full_unstemmed | Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery |
| title_short | Anterior Spinal Artery Syndrome: Reversible Paraplegia after Minimally Invasive Spine Surgery |
| title_sort | anterior spinal artery syndrome reversible paraplegia after minimally invasive spine surgery |
| url | http://dx.doi.org/10.1155/2014/205732 |
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