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NEUROLOGICAL COMPLICATIONS
Vaccaro AR, Baron EM : Spine Surgery ; AANS Guidelines of Spine Surgery 2007 ; AAOS Annual Meeting 2009
Vaccaro AR, Baron EM : Spine Surgery ; AANS Guidelines of Spine Surgery 2007 ; AAOS Annual Meeting 2009
Neurological Injuries
Direct Injuries
Indirect Injuries
Intraoperative Injuries
Postoperative Injuries
Vaccaro AR, Baron EM : Spine Surgery ; AANS Guidelines of Spine Surgery 2007 ; AAOS Annual Meeting 2009
Direct Injuries
Intra-operative injury
LACERATION OF DURA
Most frequent complication ; microdiscectomy 1.8% ; primary lumbar decompression 5% ; Revision 17.4%
COMPRESSION CONTUSION of
CSF leak :
infection headache
AVULSION
Vaccaro AR, Baron EM : Spine Surgery ; AANS Guidelines of Spine Surgery 2007 ; AAOS Annual Meeting 2009
Indirect Injuries
DISRUPTION OF BLOOD
SUPPLY something could happen in the spine that blocks the blood flow to the spinal cord (pieces of bone
compressed against each other)
GRADUAL COMPRESSION
developing hematoma putting pressure to nerve roots paralysis and numbness below the waist
Vaccaro AR, Baron EM : Spine Surgery ; AANS Guidelines of Spine Surgery 2007 ; AAOS Annual Meeting 2009
Another
Ischemic Optic
Neck-shoulder girdle
- Brachial plexus - Suprascapular nerve
Neuropathies
1. Anterior Ischemic Optic Neuropathy 2. Posterior Ischemic neuropathy
Lower extremity
INFECTION
- Discectomy 1% - Posterior spinal fusion 2 5% - Instrunentation up to 9% - Anterior spinal fusion < 1% - Anterior cervical 0.3 3%
Epidural hematoma
Pseudomeningocele Incontinence
Sexual dysfunction
PSEUDOARTHROSIS
- increasing back pain - confirmation by CT
Vaccaro AR, Baron EM : Spine Surgery ; AANS Guidelines of Spine Surgery 2007 ; AAOS Annual Meeting 2009
Vaccaro AR, Baron EM : Spine Surgery ; AANS Guidelines of Spine Surgery 2007 ; AAOS Annual Meeting 2009