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  4. Postoperative dysesthesia after PVCR without anterior support applied in Yang’s type A severe spinal kyphoscoliosis

Postoperative dysesthesia after PVCR without anterior support applied in Yang’s type A severe spinal kyphoscoliosis

Frontiers in Surgery, 2023 · DOI: 10.3389/fsurg.2023.1222520 · Published: July 19, 2023

NeurologySurgeryOrthopedics

Simple Explanation

This study investigates postoperative dysesthesia (POD) following posterior vertebral column resection (PVCR) in patients with severe spinal kyphoscoliosis. The researchers aimed to determine the incidence and characteristics of POD in patients undergoing PVCR without anterior support for Yang's type A kyphoscoliosis. The study found a 1.8% incidence rate of POD, suggesting spinal cord kinking and dorsal root ganglion injury as potential causes.

Study Duration
August 2010 to December 2019
Participants
167 patients diagnosed with Yang’s type A severe spinal kyphoscoliosis
Evidence Level
Not specified

Key Findings

  • 1
    The incidence rate of POD in Yang’s type A severe spinal kyphoscoliosis patients who underwent PVCR without anterior support applied was 1.8% (3/167).
  • 2
    Evoked potential monitoring could not detect the occurrence of POD.
  • 3
    POD in Yang’s type A severe spinal kyphoscoliosis after PVCR could be ascribed to spinal cord kinking and DRG injury.

Research Summary

This study retrospectively reviewed 167 patients with Yang’s type A severe spinal kyphoscoliosis who underwent PVCR without anterior support. The study found a 1.8% incidence of postoperative dysesthesia (POD) in these patients, characterized by pain without motor deficits. The authors conclude that POD in this patient population may be related to spinal cord kinking and dorsal root ganglion (DRG) injury, and that evoked potential monitoring may not detect the occurrence of POD.

Practical Implications

Clinical Awareness

Surgeons should be aware of the risk of POD in PVCR for severe spinal kyphoscoliosis.

Monitoring Limitations

Evoked potential monitoring may not be sufficient to detect POD.

Etiology Considerations

Spinal cord kinking and DRG injury should be considered as potential causes of POD.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Single-center study
  • 3
    Small number of POD cases

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