Grabala
P, Latalski M. Rare abdominal complications after undergoing
posterior spinal fusion for progressed idiopathic scoliosis – case series and a
literature review. Case Study Case Rep. 2019; 9(3): 30 - 41.
ABSTRACT
Spine surgery is associated with
perioperative risk of complications in children and adolescents. Spinal
manipulation for the correction of scoliotic deformity can lead to abdominal
complications especially to superior mesenteric artery syndrome. It is a relatively rare disease that the etiology is closely related
to the anatomy and the topography of the duodenum, aorta, and superior mesenteric artery syndrome.
The
authors present and analyze the case series of patients who were diagnosed and
treated for SMAS after scoliosis surgery.
Superior mesenteric artery syndrome can occur frequently in patients after surgical correction of the
spine deformities. At the curvatures of the order of 80 degrees or more, there
is a significant change in the topography of the anatomical structures and
their adaptation to a new position after surgery. Special attention must be
paid to young, lean patients, with BMI below 19, and the postoperative effect
of an elongated axis of the spine. Even if superior mesenteric artery syndrome occurs, in most cases it can and should be treated
conservatively. But it is very important that delayed treatment of SMAS may
result in death.
Keywords:
complication, scoliosis, surgery, pediatric, spinal, deformity, AIS,
SMAS, superior mesenteric artery syndrome
