Intraoperative total spinal anesthesia as a complication of posterior percutaneous endoscopic cervical discectomy
Purpose Percutaneous endoscopic cervical discectomy (PECD) is an emerging surgical treatment for cervical disc herniation in recent years, but the complications of PECD are rarely reported. In this case report, we aimed to report two cases of total spinal anesthesia, an unusual complication of PECD....
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| Veröffentlicht in: | European spine journal 2018-07, Vol.27 (Suppl 3), p.431-435 |
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| container_end_page | 435 |
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| container_issue | Suppl 3 |
| container_start_page | 431 |
| container_title | European spine journal |
| container_volume | 27 |
| creator | Wu, Wenkai Yan, Zhengjian |
| description | Purpose
Percutaneous endoscopic cervical discectomy (PECD) is an emerging surgical treatment for cervical disc herniation in recent years, but the complications of PECD are rarely reported. In this case report, we aimed to report two cases of total spinal anesthesia, an unusual complication of PECD.
Methods and Results
One patient became unconscious with unstable vital signs and another patient appeared with numbness of both arms and legs during PECD operation.
Conclusions
From these two cases, we concluded that the operation of anchoring during PECD should be cautious and standardized, intravenous anesthesia should be chosen to enhance intraoperative anesthesia to prevent intraoperative total spinal anesthesia. |
| doi_str_mv | 10.1007/s00586-017-5424-9 |
| format | Article |
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Percutaneous endoscopic cervical discectomy (PECD) is an emerging surgical treatment for cervical disc herniation in recent years, but the complications of PECD are rarely reported. In this case report, we aimed to report two cases of total spinal anesthesia, an unusual complication of PECD.
Methods and Results
One patient became unconscious with unstable vital signs and another patient appeared with numbness of both arms and legs during PECD operation.
Conclusions
From these two cases, we concluded that the operation of anchoring during PECD should be cautious and standardized, intravenous anesthesia should be chosen to enhance intraoperative anesthesia to prevent intraoperative total spinal anesthesia.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-017-5424-9</identifier><identifier>PMID: 29275522</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anesthesia ; Anesthesia, Spinal - adverse effects ; Case Report ; Cervical Vertebrae - surgery ; Diskectomy, Percutaneous - adverse effects ; Endoscopy ; Endoscopy - adverse effects ; Endoscopy - methods ; Humans ; Intervertebral Disc Degeneration - surgery ; Intervertebral Disc Displacement - surgery ; Intervertebral discs ; Intraoperative Complications - etiology ; Intravenous administration ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Retrospective Studies ; Surgical Orthopedics ; Treatment Outcome</subject><ispartof>European spine journal, 2018-07, Vol.27 (Suppl 3), p.431-435</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2017</rights><rights>European Spine Journal is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-d6218eddfd4d8397982959cbd46b4104e8c0c2c6e66251ab40d4bbda4b35e01d3</citedby><cites>FETCH-LOGICAL-c372t-d6218eddfd4d8397982959cbd46b4104e8c0c2c6e66251ab40d4bbda4b35e01d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-017-5424-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-017-5424-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29275522$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Wenkai</creatorcontrib><creatorcontrib>Yan, Zhengjian</creatorcontrib><title>Intraoperative total spinal anesthesia as a complication of posterior percutaneous endoscopic cervical discectomy</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
Percutaneous endoscopic cervical discectomy (PECD) is an emerging surgical treatment for cervical disc herniation in recent years, but the complications of PECD are rarely reported. In this case report, we aimed to report two cases of total spinal anesthesia, an unusual complication of PECD.
Methods and Results
One patient became unconscious with unstable vital signs and another patient appeared with numbness of both arms and legs during PECD operation.
Conclusions
From these two cases, we concluded that the operation of anchoring during PECD should be cautious and standardized, intravenous anesthesia should be chosen to enhance intraoperative anesthesia to prevent intraoperative total spinal anesthesia.</description><subject>Anesthesia</subject><subject>Anesthesia, Spinal - adverse effects</subject><subject>Case Report</subject><subject>Cervical Vertebrae - surgery</subject><subject>Diskectomy, Percutaneous - adverse effects</subject><subject>Endoscopy</subject><subject>Endoscopy - adverse effects</subject><subject>Endoscopy - methods</subject><subject>Humans</subject><subject>Intervertebral Disc Degeneration - surgery</subject><subject>Intervertebral Disc Displacement - surgery</subject><subject>Intervertebral discs</subject><subject>Intraoperative Complications - etiology</subject><subject>Intravenous administration</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Retrospective Studies</subject><subject>Surgical Orthopedics</subject><subject>Treatment Outcome</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtLxDAUhYMoOj5-gBsJuHFTvUnTpFmK-BgQ3Og6pElGO7RNTVLBf2_Gqojg6i7ud859HISOCZwTAHERAaqaF0BEUTHKCrmFFoSVtABZ0m20AMmg4ILIPbQf4xqAVBL4LtqjkoqqonSBXpdDCtqPLujUvjmcfNIdjmM75KIHF9OLi63GOmKNje_HrjWZ9AP2Kzz6mFxofcBZb6aUeT9F7Abro_Fja7Bx4S0LOmzbaJxJvn8_RDsr3UV39FUP0NPN9ePVXXH_cLu8urwvTCloKiynpHbWriyzdSmFrKmspGks4w0jwFxtwFDDHee0IrphYFnTWM2asnJAbHmAzmbfMfjXKR-i-s0OXTdvqYisIftwITJ6-gdd-ynkD2yoPFmI-pMiM2WCjzG4lRpD2-vwrgioTR5qzkPlPNQmDyWz5uTLeWp6Z38U3wFkgM5AzK3h2YVfo_91_QB35ZgW</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Wu, Wenkai</creator><creator>Yan, Zhengjian</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180701</creationdate><title>Intraoperative total spinal anesthesia as a complication of posterior percutaneous endoscopic cervical discectomy</title><author>Wu, Wenkai ; Yan, Zhengjian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-d6218eddfd4d8397982959cbd46b4104e8c0c2c6e66251ab40d4bbda4b35e01d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Anesthesia</topic><topic>Anesthesia, Spinal - adverse effects</topic><topic>Case Report</topic><topic>Cervical Vertebrae - surgery</topic><topic>Diskectomy, Percutaneous - adverse effects</topic><topic>Endoscopy</topic><topic>Endoscopy - adverse effects</topic><topic>Endoscopy - methods</topic><topic>Humans</topic><topic>Intervertebral Disc Degeneration - surgery</topic><topic>Intervertebral Disc Displacement - surgery</topic><topic>Intervertebral discs</topic><topic>Intraoperative Complications - etiology</topic><topic>Intravenous administration</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Retrospective Studies</topic><topic>Surgical Orthopedics</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Wenkai</creatorcontrib><creatorcontrib>Yan, Zhengjian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Wenkai</au><au>Yan, Zhengjian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative total spinal anesthesia as a complication of posterior percutaneous endoscopic cervical discectomy</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>27</volume><issue>Suppl 3</issue><spage>431</spage><epage>435</epage><pages>431-435</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
Percutaneous endoscopic cervical discectomy (PECD) is an emerging surgical treatment for cervical disc herniation in recent years, but the complications of PECD are rarely reported. In this case report, we aimed to report two cases of total spinal anesthesia, an unusual complication of PECD.
Methods and Results
One patient became unconscious with unstable vital signs and another patient appeared with numbness of both arms and legs during PECD operation.
Conclusions
From these two cases, we concluded that the operation of anchoring during PECD should be cautious and standardized, intravenous anesthesia should be chosen to enhance intraoperative anesthesia to prevent intraoperative total spinal anesthesia.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29275522</pmid><doi>10.1007/s00586-017-5424-9</doi><tpages>5</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Anesthesia Anesthesia, Spinal - adverse effects Case Report Cervical Vertebrae - surgery Diskectomy, Percutaneous - adverse effects Endoscopy Endoscopy - adverse effects Endoscopy - methods Humans Intervertebral Disc Degeneration - surgery Intervertebral Disc Displacement - surgery Intervertebral discs Intraoperative Complications - etiology Intravenous administration Male Medicine Medicine & Public Health Middle Aged Neurosurgery Retrospective Studies Surgical Orthopedics Treatment Outcome |
| title | Intraoperative total spinal anesthesia as a complication of posterior percutaneous endoscopic cervical discectomy |
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