Neurological deterioration due to missed thoracic spinal stenosis after decompressive lumbar surgery: A report of six cases of tandem thoracic and lumbar spinal stenosis.

@article{Fushimi2013NeurologicalDD,
  title={Neurological deterioration due to missed thoracic spinal stenosis after decompressive lumbar surgery: A report of six cases of tandem thoracic and lumbar spinal stenosis.},
  author={Kazunari Fushimi and Kei Miyamoto and Akira Hioki and Hideo Hosoe and A Takeuchi and Katsuji Shimizu},
  journal={The bone & joint journal},
  year={2013},
  volume={95-B 10},
  pages={1388-91}
}
There have been a few reports of patients with a combination of lumbar and thoracic spinal stenosis. We describe six patients who suffered unexpected acute neurological deterioration at a mean of 7.8 days (6 to 10) after lumbar decompressive surgery. Five had progressive weakness and one had recurrent pain in the lower limbs. There was incomplete recovery following subsequent thoracic decompressive surgery. The neurological presentation can be confusing. Patients with compressive myelopathy due… CONTINUE READING
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