Cervical Spinal Cord Injury During Coronary Artery Bypass Graft Surgery in An Elderly: A Case Report

Volume 2 - Issue 4

Keiji Nagata*, Akihito Minamide, Masanari Takami, Takeshi Deguchi, Takashi Shimoe and Hiroshi Yamada

Received: March 18, 2019;   Published:March 26, 2019

DOI: 10.32474/SCSOAJ.2019.02.000143

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Case Report

Intraoperative spinal cord injury (SCI) is uncommon and the pathology has not cleared. We report cervical cord injury without vertebral fracture during a coronary artery bypass operation. Cervical cord compression (CCC) is compression of the cervical spinal cord that occurs during the normal course of aging and may progress into cervical spondylotic myelopathy (CSM), which can cause neurologic dysfunction. Many people with cervical cord compression are asymptomatic. However, patients with CCC are at higher risk of SCI following minor injury. An 85-year-old woman with asymptomatic cervical cord compression underwent a coronary artery bypass graft surgery. After the surgery, he developed tetraplegia. MRI revealed severe spinal cord compression from C3 to C7 and C5/6 signal change of spinal cord (Figure 1). The radiograph and CT showed diffuse idiopathic skeletal hyperostosis and thoracic kyphosis of 55 degree (Figure 2). Cervical SCI after was diagnosed. After the diagnosis, we underwent laminoplasty (Figure 3). And he almost completely recovered after surgery.

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