Cerebral Infarction after Spine Surgery Report of Two Cases.docVIP

Open Journal of Orthopedics, 2013, 3, 204-207 /10.4236/ojo.2013.34037 Published Online August 2013 (/journal/ojo) Cerebral Infarction after Spine Surgery: Report of Two Cases* Katsunori Fukutake, Hiroshi Takahashi, Yuichiro Yokoyma, Yasuaki Iida, Ryo Takamatsu, Kazumasa Nakamura, Akihito Wada Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan. Email: drkan@med.toho-u.ac.jp Received June 13 , 2013; revised July 13 , 2013; accepted July 20 , 2013 th th th Copyright ? 2013 Katsunori Fukutake et al. This is an open access article distributed under the Creative Commons Attribution Li- cense, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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 patho- genic 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 pres- sure 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 1. Introduction 1). Multivariate analysis was conducted using age at sur- Surgeries in elderly patients have increased with aging of the population. Many elderly patients have comorbidity such as hypertensio