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

Brian C. Goh; Amit Jain; Paul David Sponseller

doi:10.2106/JBJS.CC.17.00185

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

Brian C. Goh, Amit Jain, Paul David Sponseller

School of Medicine

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	e16
Journal	JBJS case connector
Volume	8
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.17.00185
State	Published - Jan 1 2018

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.17.00185

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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.",

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AB - 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.

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

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