Delayed, Reversible Cervical Paralysis After Scoliosis Corrective Surgery in a Child with Osteogenesis Imperfecta: A Case Report

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Abstract

CASE: A 12-year-old girl with osteogenesis imperfecta (OI) underwent posterior spinal arthrodesis (from T2 to the sacrum) for double major-curve scoliosis. She developed complete paralysis of all of the extremities 24 hours after surgery, without evidence of ischemia or infarction. The rods were removed, and the neurologic status improved; there was full restoration of strength within 1 week. She then underwent in situ fixation. At the 2-year follow-up, there had been no lapse in neurologic function. CONCLUSION: Reversible, distraction-induced neurologic deficits can occur outside of the instrumented spinal segment after corrective scoliosis surgery, particularly in patients with ligamentous laxity, as seen with OI.

Original languageEnglish (US)
Pages (from-to)e16
JournalJBJS case connector
Volume8
Issue number1
DOIs
StatePublished - Jan 1 2018

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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