PDF(Pubmed)
Abstract：
Postoperative seroma is a known complication following spine deformity surgery. However, complete spinal cord injury (SCI) due to postoperative seroma is rare. Rehabilitation strategies and outcomes of SCI associated with postoperative seroma have been inadequately described.
A 15-year-old female experienced inadvertent durotomy during pinal deformity correction surgery for idiopathic adolescent scoliosis. Despite immediate decompressive laminectomy, she developed complete loss of motor and sensory function with neurological level of injury at T10 immediately following the surgery. Urgent magnetic resonance imaging revealed cord compression due to seroma. Decompressive surgery was performed 48 h later and timely intensive rehabilitation was provided for 3 months, which included the use of robotic-assisted gait training (RAGT) to maximize neurological recovery. She demonstrated impressive improvement from grade A to D on the American Spinal Injury Association Impairment Scale and regained functional ambulation over the 3-month period. We describe a comprehensive rehabilitation program to manage SCI associated with postoperative seroma, entailing the use of a robotic gait device for locomotor training. The progression of the patient\'s neurological status and functional outcomes was documented accordingly.
Complete SCI due to seroma, a surgical complication of corrective scoliosis surgery, is rare. However, prompt postoperative examination should be performed routinely in anticipation of neurological deterioration. Early rehabilitation comprising of gait re-training and the use of RAGT might enhance the lower-limb motor strength and functional recovery.
A 15-year-old female experienced inadvertent durotomy during pinal deformity correction surgery for idiopathic adolescent scoliosis. Despite immediate decompressive laminectomy, she developed complete loss of motor and sensory function with neurological level of injury at T10 immediately following the surgery. Urgent magnetic resonance imaging revealed cord compression due to seroma. Decompressive surgery was performed 48 h later and timely intensive rehabilitation was provided for 3 months, which included the use of robotic-assisted gait training (RAGT) to maximize neurological recovery. She demonstrated impressive improvement from grade A to D on the American Spinal Injury Association Impairment Scale and regained functional ambulation over the 3-month period. We describe a comprehensive rehabilitation program to manage SCI associated with postoperative seroma, entailing the use of a robotic gait device for locomotor training. The progression of the patient\'s neurological status and functional outcomes was documented accordingly.
Complete SCI due to seroma, a surgical complication of corrective scoliosis surgery, is rare. However, prompt postoperative examination should be performed routinely in anticipation of neurological deterioration. Early rehabilitation comprising of gait re-training and the use of RAGT might enhance the lower-limb motor strength and functional recovery.
摘要：
未经证实：术后血清肿是脊柱畸形手术后的一种已知并发症。然而,由于术后血清肿引起的完全脊髓损伤（SCI）很少见。尚未充分描述与术后血清肿相关的SCI的康复策略和结果。
UNASSIGNED：一名15岁的女性在特发性青少年脊柱侧凸的脊柱畸形矫正手术中意外发生截骨。尽管立即进行椎板减压切除术,手术后T10时，她的运动和感觉功能完全丧失，神经系统受损。紧急磁共振成像显示由于血清肿导致脊髓受压。48h后进行减压手术，并及时进行强化康复，为期3个月。其中包括使用机器人辅助步态训练（RAGT）以最大限度地提高神经系统恢复。在美国脊髓损伤协会损害量表上，她表现出从A级到D级的令人印象深刻的改善，并在3个月的时间内恢复了功能行走。我们描述了一个全面的康复计划来管理与术后血清肿相关的SCI，需要使用机器人步态装置进行运动训练。相应地记录患者的神经状态和功能结果的进展。
未经证实：由于血清肿导致完整SCI，矫正脊柱侧弯手术的手术并发症，是罕见的。然而,术后应及时进行常规检查，以预期神经系统恶化。包括步态再训练和使用RAGT的早期康复可能会增强下肢运动强度和功能恢复。
UNASSIGNED：一名15岁的女性在特发性青少年脊柱侧凸的脊柱畸形矫正手术中意外发生截骨。尽管立即进行椎板减压切除术,手术后T10时，她的运动和感觉功能完全丧失，神经系统受损。紧急磁共振成像显示由于血清肿导致脊髓受压。48h后进行减压手术，并及时进行强化康复，为期3个月。其中包括使用机器人辅助步态训练（RAGT）以最大限度地提高神经系统恢复。在美国脊髓损伤协会损害量表上，她表现出从A级到D级的令人印象深刻的改善，并在3个月的时间内恢复了功能行走。我们描述了一个全面的康复计划来管理与术后血清肿相关的SCI，需要使用机器人步态装置进行运动训练。相应地记录患者的神经状态和功能结果的进展。
未经证实：由于血清肿导致完整SCI，矫正脊柱侧弯手术的手术并发症，是罕见的。然而,术后应及时进行常规检查，以预期神经系统恶化。包括步态再训练和使用RAGT的早期康复可能会增强下肢运动强度和功能恢复。
