Neuro-vaskuläre Komplikationen bei komplexen Korrektureingriffen − Ursachen, Prävention, Systemlösungen

Heiko Koller; Ehab Shiban; Gergely Bodon; Maria Wostrack; Sandro Krieg; Thomas Meiners; Bernhard Meyer

doi:10.1055/a-0924-6225

Die Wirbelsäule, Table of Contents

Die Wirbelsäule 2019; 03(04): 275-301
DOI: 10.1055/a-0924-6225

Übersicht

Neuro-vaskuläre Komplikationen bei komplexen Korrektureingriffen − Ursachen, Prävention, Systemlösungen

Neurovascular complications in complex spinal deformity surgery – Prevention and treatment recommendations

Heiko Koller

¹Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München

,

Ehab Shiban

¹Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München

,

Gergely Bodon

²Klinik für Unfallchirurgie und Orthopädie, Klinikum Esslingen

,

Maria Wostrack

¹Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München

,

Sandro Krieg

¹Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München

,

Thomas Meiners

³Werner-Wicker-Klinik, Zentrum für Rückenmarksverletzte, Bad Wildungen

,

Bernhard Meyer

¹Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München

› Author Affiliations

Abstract

Zusammenfassung

Die Autoren präsentieren eine ausführliche Übersichtsarbeit, welche Einblicke in die Pathogenese, Prävention und Therapie neurovaskulärer Komplikationen in der Behandlung komplexer spinaler Pathologien ermöglicht. Insbesondere werden die strategischen Grundzüge für die Vermeidung neurologischer Läsionen bei Patienten mit komplexen Deformitäteneingriff an der Wirbelsäule und mit neurologische erhöhten Risiko dargestellt.

Abstract

The authors present a comprehensive review article on the pathogenesis, the prevention strategies and the treatment options for surgery and spinal deformity correction in patients with elevated risk for neuromuscular related complications. In particularly, strategic concepts for prevention of neurologic deficits related to spinal ischemia during surgical spinal interventions are highlighted.

Full Text

References

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