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K. Hayashi, K. Yone, S. Matsunaga, T. Lzumi, H. Shimada and S. Komiya, “Neurological Complications in Cervical Laminoplasty-Open Door vs. French Door Laminoplasty,” Orthopedics & Traumatology, Vol. 53, No. 1, 2004, pp. 88-90. doi:10.5035/nishiseisai.53.88

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• TITLE: Cerebral Infarction after Spine Surgery: Report of Two Cases

  AUTHORS: Katsunori Fukutake, Hiroshi Takahashi, Yuichiro Yokoyma, Yasuaki Iida, Ryo Takamatsu, Kazumasa Nakamura, Akihito Wada

  KEYWORDS: Cerebral infarction; Spine surgery; Complication

  JOURNAL NAME: Open Journal of Orthopedics, Vol.3 No.4, August 13, 2013

  ABSTRACT: There has been an increase in spinal surgery for the elderly, with a corresponding potential increase in perioperative complications. In our department, 1833 patients underwent spinal surgery under general anesthesia from April 2001 to October 2012, and 2 of 260 patients aged ≥75 years old had postoperative cerebral infarction. An analysis of the pathogenic mechanism and potential risk factors showed that a history of cerebral infarction was a significant risk factor. Blood pressure rapidly increased on arousal from anesthesia, and particularly on extubation. The change in blood pressure was examined as a potential risk factor for cerebral infarction, but no significant relationship was observed. This result requires further examination in more patients with cerebral infarction after spinal surgery.