Hardware failure and spinal pseudoarthrosis causing autonomic dysreflexia: a report of two cases.
Spinal Cord
; 47(12): 899-900, 2009 Dec.
Article
em En
| MEDLINE
| ID: mdl-19436264
ABSTRACT
STUDY DESIGN:
Case report.OBJECTIVES:
To describe two cases of hardware failure with pseudoarthrosis causing autonomic dysreflexia. The first patient was a 24-year-old woman with T3 ASIA (American Spinal Injury Association)-A paraplegia who developed complete failure and breakage of the Luque rods at the T11-12 region. The second woman was a 36-year-old T5 ASIA-A complete paraplegic who fractured her Harrington rods at T12 and L1 bilaterally.SETTING:
Saskatoon City Hospital, Saskatchewan, Canada. METHODS ANDRESULTS:
Both patients underwent operation for surgical fixation. In both cases, stabilization and fusion of the spinal deformity abolished the autonomic dysreflexia.CONCLUSION:
Owing to the failure of spine-stabilizing hardware, sitting upright may cause an afferent stimulus that triggers the onset and worsening of symptoms associated with autonomic dysreflexia. Therefore, in contrast to current acute treatment regimes, lying down may be preferred to sitting upright (to decrease blood pressure) as a means to relieve the afferent stimulus. Surgical correction and hardware replacement alleviated the symptoms in these two patients.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
/
Curvaturas da Coluna Vertebral
/
Fixadores Internos
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Fraturas da Coluna Vertebral
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Disreflexia Autonômica
/
Falha de Equipamento
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Idioma:
En
Revista:
Spinal Cord
Assunto da revista:
NEUROLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Canadá