Can scoliosis lead to spinal cord ischaemia? Early diagnosis and rehabilitation: A paradigmatic case report and literature review

Autor:	Marco Invernizzi, Lorenzo Lippi, Alessandro de Sire, Andrea Cattalani, Luca Perrero, Alessio Baricich, Manuela Desilvestri, Andrea Barbanera
Rok vydání:	2021
Předmět:	medicine.medical_specialty Spinal curvature medicine.medical_treatment media_common.quotation_subject Early detection 030209 endocrinology & metabolism Physical Therapy Sports Therapy and Rehabilitation Scoliosis Urination Young Adult 03 medical and health sciences 0302 clinical medicine Intermittent catheterisation medicine Humans Orthopedics and Sports Medicine media_common Rehabilitation Spinal Cord Ischemia business.industry medicine.disease Spine Surgery Early Diagnosis Spinal cord ischaemia Etiology Female business 030217 neurology & neurosurgery
Zdroj:	Journal of Back and Musculoskeletal Rehabilitation. 34:43-47
ISSN:	1878-6324 1053-8127
Popis:	INTRODUCTION: Scoliosis is frequently associated with pain and radiculopathy, but it is not considered a possible cause of acute spinal cord injury (SCI). Here we present a case report in which scoliosis was apparently linked to spinal cord ischaemia. CASE PRESENTATION: A 20-year-old woman with conservatively treated severe scoliosis presented with acute spinal cord infarction, which occurred during a spinal flexion while she was tidying up the bed. Other causes of SCI were excluded. Early rehabilitation was started and the patient progressively regained motor and sensory functions, with an AIS reduction from A to C. Bowel and bladder disorders persisted and were autonomously managed with a trans-anal irrigation device and intermittent catheterisation after voluntary micturition. DISCUSSION: Early detection and management of spinal curvature disorders are essential in preventing long-term complications of scoliosis. Although the aetiology of spinal cord ischaemia in severe scoliosis should be better clarified, this rare case report suggests that scoliosis might be involved in its pathogenesis. Thus, we recommend early diagnosis of spinal curvature disorders and adequate rehabilitative treatment in order to prevent potential subsequent neurological complications.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d841f94906fe7c2859a079a5df90d605 https://doi.org/10.3233/bmr-200070 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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