TY - JOUR
T1 - Superior mesenteric artery syndrome after scoliosis repair surgery
T2 - A case study and reassessment of the syndrome's pathogenesis
AU - Hod-Feins, Roei
AU - Copeliovitch, Leonel
AU - Abu-Kishk, Ibrahim
AU - Eshel, Gideon
AU - Lotan, Gad
AU - Shalmon, Ehud
AU - Anekstein, Yoram
AU - Mirovsky, Yigal
AU - Masharawi, Youssef
PY - 2007/9
Y1 - 2007/9
N2 - We carried out a retrospective analysis to investigate the prevalence of superior mesentery artery syndrome (SMAS) in children who underwent scoliosis surgical repair at our hospital between 1998 and 2006 and to reassess the syndrome's pathogenesis. Among 133 consecutive pediatric patients, two cases were identified, both 13-year-old girls with idiopathic scoliosis, undergoing surgery using third-generation instrumentation systems. Conservative management achieved resolution of the symptoms without recurrence. SMAS prevalence in our series was 1.6%. SMAS might occur after derotation and translation forces application, and even with nonextreme corrections. Low BMI and significant weight loss at presentation are not mandatory.
AB - We carried out a retrospective analysis to investigate the prevalence of superior mesentery artery syndrome (SMAS) in children who underwent scoliosis surgical repair at our hospital between 1998 and 2006 and to reassess the syndrome's pathogenesis. Among 133 consecutive pediatric patients, two cases were identified, both 13-year-old girls with idiopathic scoliosis, undergoing surgery using third-generation instrumentation systems. Conservative management achieved resolution of the symptoms without recurrence. SMAS prevalence in our series was 1.6%. SMAS might occur after derotation and translation forces application, and even with nonextreme corrections. Low BMI and significant weight loss at presentation are not mandatory.
KW - Adolescent idiopathic scoliosis
KW - Anterior spinal fusion
KW - Superior mesentery artery syndrome
UR - http://www.scopus.com/inward/record.url?scp=34548404255&partnerID=8YFLogxK
U2 - 10.1097/BPB.0b013e32826d1d9b
DO - 10.1097/BPB.0b013e32826d1d9b
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AN - SCOPUS:34548404255
SN - 1060-152X
VL - 16
SP - 345
EP - 349
JO - Journal of Pediatric Orthopaedics Part B
JF - Journal of Pediatric Orthopaedics Part B
IS - 5
ER -