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Pseudo-hypotension in patients with ankylosing spondylitis during posterior osteotomy for correction of kyphosis.
[thoracic outlet syndrome]
To
report
the
occurrence
of
pseudo-
hypotension
during
posterior
osteotomy
for
correction
of
kyphosis
in
patients
with
ankylosing
spondylitis
.
Retrospective
case
series
.
University
-affiliated
hospital
.
The
records
of
36
patients
with
ankylosing
spondylitis
,
who
had
severe
thoracolumbar
kyphosis
and
who
underwent
one
-level
transpedicular
wedge
osteotomy
for
correction
from
2008
to
2010
,
were
reviewed
.
Details
of
the
patients
'
condition
,
anesthetic
induction
and
maintenance
,
hemodynamic
responses
during
correction
and
the
corresponding
treatment
,
intraoperative
course
,
and
immediate
postoperative
neurological
complications
were
analyzed
.
The
posterior
osteotomy
corrected
all
patients
'
kyphosis
.
There
were
no
deaths
.
In
8
cases
,
a
significant
decrease
in
radial
arterial
blood
pressure
(
BP
)
occurred
during
the
correction
,
but
BP
recovered
to
normal
levels
immediately
after
the
ipsilateral
clavicle
was
drawn
downward
.
Three
of
the
8
patients
suffered
numbness
and
muscle
weakness
of
the
upper
extremities
postoperatively
.
This
decrease
in
BP
may
be
associated
with
stenosis
of
the
thoracic
outlet
with
compression
of
neurovascular
bundle
due
to
correction
,
similar
to
the
thoracic
outlet
syndrome
.
Diseases
Validation
Diseases presenting
"hypotension"
symptom
achondroplasia
adrenal incidentaloma
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cutaneous mastocytosis
fabry disease
familial mediterranean fever
primary effusion lymphoma
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
typhoid
This symptom has already been validated