Delayed postoperative incomplete paraplegia due to development of extensive thoracolumbar dural ossification in an ankylosing spondylitis patient following lumbar pedicle subtraction osteotomy: A case report

Autor: Xu Chen, Bang-ping Qian, Yong Qiu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 36, Iss , Pp 101953- (2024)
Druh dokumentu: article
ISSN: 2214-7519
DOI: 10.1016/j.inat.2023.101953
Popis: Dural ossification (DO) is a degenerative phenomenon of endorhachis characterized by the displacement of dura by proliferative osseous tissue, which is a common complication of spinal ligament ossifications. Precisely preoperative diagnosis and elaborate surgical manipulation are the focus of clinicians since incorrect management of DO during surgery could induce cerebrospinal fluid leakage (CSF) and spinal cord injury (SCI). However, there has been no case of postoperative DO which was reported in ankylosing spondylitis (AS). Herein, we reported a 49-year-old AS patient who presented delayed incomplete paraplegia due to the development of extensive thoracolumbar DO after L3 pedicle subtraction osteotomy (PSO), aiming to help spinal surgeons to have a more comprehensive understanding of the possible pathogenic mechanism, diagnosis, surgical and prognostic implications of DO in AS patients.
Databáze: Directory of Open Access Journals