Case Study and Case Report. 2019; 9(3): 30 - 41.

Grabala P, Latalski M. Rare abdominal complications after undergoing posterior spinal fusion for progressed idiopathic scoliosis – case series and a literature review. Case Study Case Rep. 2019; 9(3): 30 - 41.

ABSTRACT

Spine surgery is associated with perioperative risk of complications in children and adolescents. Spinal manipulation for the correction of scoliotic deformity can lead to abdominal complications especially to superior mesenteric artery syndrome. It is a relatively rare disease that the etiology is closely related to the anatomy and the topography of the duodenum, aorta, and superior mesenteric artery syndrome.
The authors present and analyze the case series of patients who were diagnosed and treated for SMAS after scoliosis surgery.

Superior mesenteric artery syndrome can occur frequently in patients after surgical correction of the spine deformities. At the curvatures of the order of 80 degrees or more, there is a significant change in the topography of the anatomical structures and their adaptation to a new position after surgery. Special attention must be paid to young, lean patients, with BMI below 19, and the postoperative effect of an elongated axis of the spine. Even if superior mesenteric artery syndrome occurs, in most cases it can and should be treated conservatively. But it is very important that delayed treatment of SMAS may result in death.

Keywords: complication, scoliosis,  surgery, pediatric, spinal, deformity, AIS, SMAS, superior mesenteric artery syndrome

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