PDF(Pubmed)
Abstract：
Orthopedic spinal surgeries, such as laminectomies or decompressions, have the potential to significantly increase quality of life for patients suffering from a spectrum of health issues ranging from neuropathy to chronic pain. Patients suffering from neurological symptoms such as weakness or neuropathy may lose significant function and become unable to perform the activities of daily living, however these delicate surgical interventions also come with significant risks to the health and well-being of those same patients. This is especially true with patients who have predisposing health conditions. Here, we discuss the effects of surgery on a patient with severe obesity, multiple confounding pre-existing conditions, and significant polypharmacy. An initially unremarkable spinal laminectomy and decompression surgery resulted in severe intraoperative complications that necessitated direct admission to the intensive care unit for significant post-operative management before he was able to be discharged safely. Although not a case of incredible rarity, we hope it can contribute to the growing body of data about the role of predisposing health conditions and polypharmacy in calculating and understanding the risks of orthopaedic surgery.
摘要：
脊柱矫形手术,如椎板切除术或减压术，对于患有从神经病到慢性疼痛的一系列健康问题的患者，有可能显着提高生活质量。患有神经症状，如虚弱或神经病变的患者可能会失去显著的功能，无法进行日常生活活动，然而，这些微妙的手术干预措施也对这些患者的健康和福祉带来重大风险。对于患有易感健康状况的患者尤其如此。这里,我们讨论了手术对严重肥胖患者的影响，多种混杂的预先存在的条件，和重要的多重用药。最初不明显的脊柱椎板切除术和减压手术导致严重的术中并发症，需要直接进入重症监护病房进行重要的术后管理，然后才能安全出院。虽然不是一个令人难以置信的罕见案例，我们希望它能为越来越多的数据做出贡献，这些数据是关于诱发健康状况和多重用药在计算和理解骨科手术风险方面的作用。
