Читать книгу Neurosurgery Outlines - Paul E. Kaloostian - Страница 90

• Reduction in range of motion and mobility of fused spinal segments

• Intraoperative CSF leak

• Blood clot (deep vein thrombosis, or more severe pulmonary embolism)

• Damage to spinal nerves and/or cord

• Postoperative weakness or numbness or continued pain

• Postoperative wound infection

• Continued symptoms postsurgically/unresolved symptoms with no improvement to quality of life

• Prolonged hospitalization due to invasiveness of surgery and other comorbidities/iatrogenic infection

• Loss of sensation

• Progressive kyphosis

• Residual spinal compression

• Problems with bowel/bladder control

• Injury to artery of Adamkiewicz (generally originating from the left T8–L1) resulting in cord ischemia, radicular arteries (typically during dissection around intervertebral foramina), thoracic duct, chylothorax, and/or esophagus (from transthoracic approach)

• Vascular complications

• Atelectasis and pneumonia

• Hemothorax and empyema (managed with drainage and antibiotics)

• Injury to carotid sheath, trachea, esophagus, recurrent laryngeal nerves, great vessels, vertebral arteries, and/or sympathetic trunk (from transsternal approach)