A Case of Post-Operative CO2-Narcosis on Cervical Ossification of Posterior Londitudinal Ligament.

概要

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Seventy years old male was operated for the ossification of posterior longitudinal ligament with cervical myelopathy. The laminoplasty was performed from C1 to T1. His post operative course was smooth and there was nothing paticular with out minimized thoracic breathing.On post-operative sixthday, he showed good neurological recovery but suddenly developed apnea with CO2-narcosis.After two weeks of respiratory care, vital capacity was gained by 800cc.Post-operative three months later vital capacity recovered normal range.The CO2-narcosis was considered to be dueto bilateral fourth cervical nerve palsy caused by posterior displacement of the spinal cord and the merve roots traction after posterior decompression.
西日本整形・災害外科学会の論文