@entity18213 after total spondylectomy of T10, XXXX , and @entity7279 .

@entity1 @entity322 @entity7279 @entity146 @entity5 @entity1347 @entity16 @entity3138 @entity2967 @entity18213 @entity158
Although radical resection is the best treatment for @entity146 or @entity5 of the spine, total spondylectomy for lower thoracic vertebrae may cause @entity18213 . There are few reports in the literature in which this syndrome has been documented in association with thoracic spondylectomy, although this syndrome is the most common @entity16 after abdominal aortic surgery. A 50-year-old @entity1 with a @entity2967 of the thoracic vertebrae was treated by posterior and anterior surgery. @entity1347 from T10 to @entity7279 had to be resected bilaterally to dissect the aorta free from the @entity5 . After resection of all feeding arteries to the @entity5 , the @entity5 and entire parts of T10, @entity3138 , and @entity7279 were removed. Postoperative neurologic examination disclosed flaccid paralysis of the lower extremities and @entity322 . Although @entity158 and temperature sensation were absent, vibration and position sense were intact, showing @entity18213 . Intraoperative somatosensory-evoked potential monitoring only showed that transient deterioration failed to adequately reflect this @entity16 . Major reconstructive surgery involving lower thoracic regions may cause @entity18213 . Somatosensory-evoked potential monitoring might not reliably predict overall neurologic outcome involving the blood supply of the lower thoracic regions.
