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Spinal Surgery and Neurocritical Care

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Principles and Practice of Neurocritical Care

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Abstract

Spinal surgery is associated with a high rate of systemic complications. Systematic reviews have found that the overall rate of early complications from spinal surgery ranged from 5.2% to 16.4% [1, 2]. The rates of early systemic complications differed based on the type of surgery and the surgical approaches. Major systemic complications, defined as clinical events that led to long-lasting sequelae or required further intervention, including repeat surgery, are as high as 28% in cervical spinal surgery and 24.2% in thoracic or lumbar spinal surgeries (Table 48.1) [3, 4]. In addition, perioperative spinal cord injury after spinal surgery is a devastating complication with incidence of 0–3%. High-risk surgical procedures include spinal stabilisation following trauma/tumours and correction of scoliosis. Furthermore, the care of high-level acute spinal cord injuries requires physiological monitoring and stabilisation preoperatively; spinal decompression and/or fixation are common surgical approaches with post-operative challenges due to intraoperative factors and long-term physiological changes.

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Authors and Affiliations

  1. St. George’s University Hospitals NHS Foundation Trust, London, UK

    Maresa Santi, Samuel Ern Hung Tsan & Argyro Zoumprouli

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  1. Maresa Santi
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  2. Samuel Ern Hung Tsan
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  3. Argyro Zoumprouli
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Corresponding author

Correspondence to Maresa Santi .

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Editors and Affiliations

  1. Department of Neuroanesthesiology, Neurosciences Center, All India Institute of Medical Sciences, New Delhi, Delhi, India

    Hemanshu Prabhakar

  2. Department of Neuroanesthesiology and Critical Care, Medanta The Medicity, Gurugram, Haryana, India

    Vasudha Singhal

  3. Department of Neuro Trauma Unit, Ruby Hall Clinic, Pune, Maharashtra, India

    Kapil G Zirpe

  4. Department of Neuroanesthesia and Neurocritical care, Medanta The Medicity, Gurgaon, Haryana, India

    Harsh Sapra

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Santi, M., Tsan, S.E.H., Zoumprouli, A. (2024). Spinal Surgery and Neurocritical Care. In: Prabhakar, H., Singhal, V., Zirpe, K.G., Sapra, H. (eds) Principles and Practice of Neurocritical Care. Springer, Singapore. https://doi.org/10.1007/978-981-99-8059-8_48

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  • DOI: https://doi.org/10.1007/978-981-99-8059-8_48

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