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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.

KEYWORDS

Cerebral infarction; Spine surgery; Complication

Cite this paper

K. Fukutake, H. Takahashi, Y. Yokoyma, Y. Iida, R. Takamatsu, K. Nakamura and A. Wada -Cerebral Infarction after Spine Surgery: Report of Two Cases,- Open Journal of Orthopedics, Vol. 3 No. 4, 2013, pp. 204-207. doi: 10.4236-ojo.2013.34037.





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

Source: http://www.scirp.org/



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