Journal of Craniovertebral Junction and Spine

ORIGINAL ARTICLE
Year
: 2015  |  Volume : 6  |  Issue : 4  |  Page : 179--182

Ogilvie俟Q製 syndrome following posterior spinal instrumentation in thoraco lumbar trauma


R Krishnakumar, Mathew John Kuzhimattam, Gaurav Kumar 
 Department of Orthopaedics, Spine Division, Amrita Institute of Medical Sciences, Cochin, Kerala, India

Correspondence Address:
R Krishnakumar
Department of Orthopaedics, Spine Division, Amrita Institute of Medical Sciences, Cochin, Kerala
India

Objectives: To report unique cases of Ogilvie俟Q製 syndrome (acute intestinal pseudo-obstruction) following posterior spinal instrumentation in thoraco lumbar trauma. Materials and Methods: A single centre retrospective study. We reviewed the surgical data of 420 patients who underwent thoracolumbar spinal surgery over a period of four years. Two patients who developed post operative Ogilvie俟Q製 syndromes were identified. Results: The clinical presentation and blood investigations ruled out any infectious pathology. Computed tomography scans ruled out the mechanical obstruction. All patients improved with conservative management. Conclusion: Ogilvie俟Q製 syndrome should be considered as a differential diagnosis in patients with postoperative significant abdominal distension who had undergone posterior instrumentation for spinal trauma. Early recognition and appropriate conservative treatment would be necessary to prevent complications such as bowel ischemia and perforation.


How to cite this article:
Krishnakumar R, Kuzhimattam MJ, Kumar G. Ogilvie's syndrome following posterior spinal instrumentation in thoraco lumbar trauma.J Craniovert Jun Spine 2015;6:179-182


How to cite this URL:
Krishnakumar R, Kuzhimattam MJ, Kumar G. Ogilvie's syndrome following posterior spinal instrumentation in thoraco lumbar trauma. J Craniovert Jun Spine [serial online] 2015 [cited 2020 Aug 5 ];6:179-182
Available from: http://www.jcvjs.com/article.asp?issn=0974-8237;year=2015;volume=6;issue=4;spage=179;epage=182;aulast=Krishnakumar;type=0