Reversible ischemic myelopathy during scoliosis surgery: A possible role for intravenous lidocaine

William R. Klemme, William Burkhalter, David W. Polly, Lynn F. Dahl, Dave A. Davis

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

An unusual and previously unreported case of partially reversible ischemic myelopathy after limited unilateral segmental vessel ligation during scoliosis surgery is described. Intravenous lidocaine, used intraoperatively for its vasoactive properties, induced an immediate and meaningful recovery of neurologic function. The conceptual and pharmacologic basis for this intervention is discussed in view of this exceedingly rare complication of segmental vessel ligation.

Original languageEnglish (US)
Pages (from-to)763-765
Number of pages3
JournalJournal of Pediatric Orthopaedics
Volume19
Issue number6
DOIs
StatePublished - Jan 1 1999

Keywords

  • Ischemia
  • Lidocaine
  • Myelopathy
  • Scoliosis

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