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Neurologic and Vascular Complications of Scoliosis Surgery in Patients With Ehlers‐Danlos Syndrome: A Case Report

Study Design Case reports. Objectives Description of neurologic and vascular complications of scoliosis surgery in children and adolescents with Ehlers‐Danlos syndrome. Summary of Background Data There have been no previous reports of neurologic and vascular complications of scoliosis surgery in patients with Ehlers‐Danlos syndrome. Scoliosis and vascular fragility are characteristics of certain types of Ehlers‐Danlos syndrome. Methods Case reports and literature review. Results Subsequent to scoliosis surgery, three patients with Ehlers‐Danlos syndrome developed neurologic complications: two developed paraplegia, and one developed unilateral foot and ankle weakness with transient neurogenic bladder. Another patient with Ehlers‐Danlos syndrome experienced avulsion of segmental arteries during anterior spinal surgery. Conclusions Patients with Ehlers‐Danlos syndrome may be at high risk for neurologic and vascular complications consequent to scoliosis surgery, necessitating careful perioperative evaluation and management.