Table 6 Clinical information on patients with spinal injury causing serious consequences.
Case number | Gender (F/M), age(yrs) | Past history and comorbidities | Surgery type | Anesthesia | Comments anesthesia/analgesia | Symptoms | Radiography | Recovery result | Medical appraisal and compensation |
|---|---|---|---|---|---|---|---|---|---|
1 | F,56 | hypertension | appendectomy | CSEA, L2-3 | Electric sensation during puncture | Numbness and weakness of right calf | CT: no abnormal | PMII | Yes |
2 | F,41 | Neuraxial anesthesia | internal fixation of thoracic vertevral fracture with nail rod | CEA, T12-L1 | Two puncture, electric sensation during puncture | Numbness and weakness of left lower extremity | NA | PMII | Yes |
3 | M,45 | No | Debridement of left anterior malleolus and flap transplantation | CSEA, L2-3 | Electric sensation during puncture, epidural analgesia | Numbness of the right extremity, inability to walk | MRI: L4-L5 disc herniation | PMAI, right lower extremity hypoesthesia and muscle atrophy, right foot dorsiflexion weakness | Yes |
4 | M,36 | No | Cesarean delivery | CSEA, L3-4 | Uneventful puncture, epidural analgesia | Left calf flexor weakness with skin numbness | NA | PMII | No |
5 | M,27 | No | Cesarean delivery | CSEA, L3-4 | Difficult puncture with three spinal attempts (L3-4, L2-3 and L1-2 lastly), electric sensation during puncture | Left foot skin numbness and weakness | NA | PMII | Yes |
6 | M,62 | Lumbar trauma | Ovariectomy | CSEA, L2-3 | Uneventful puncture, epidural analgesia | Needle-like pain in left ankle joint | MRI: lumbar hyperosteogeny, L2-L5 disc herniation | PMII | Yes but no compensation |
7 | M,28 | No | Cesarean delivery | CSEA, L2-3 | Electric sensation during puncture, epidural analgesia | Pain in the right hip and lower extremity | CT: mild lumbar disc herniation | PMII | Yes |
8 | M,37 | No | Cesarean delivery | CSEA, L2-3 | Difficult puncture with three spinal attempts, electric sensation during puncture | One side of the lower extremity weakness, foot numbness | NA | PMII | No |
9 | F,40 | No | Bone marrow harvesting | CSEA, L3-4 | Difficult puncture with three spinal attempts, electric sensation during puncture | Right lower extremity pain, numbness and weakness, limited toes movement | MRI: Mild L4-L5 disc herniation and spinal stenosis, Ankylosing spondylitis? | PMII | No |
10 | M,37 | hypertension | Cesarean delivery | CSEA, L3-4 | Electric sensation during puncture, epidural analgesia | No dorsiflexion of the right foot, numbness of right lower extremity | MRI: lumbosacral fasciitis at l2-L3 level | PMII | No |
11 | M,56 | No | Ureteroscopic lithotripsy | CSEA, L2-3 | Difficult puncture with three spinal attempts, electric sensation during puncture | Pain in left thigh and weakness in left lower extremity | MRI: abnormal signal in the lumbar spinal | PMII | Yes |
12 | M,52 | No | Removal of left tibial plateau with internal fixation | CSEA, L3-4 | two puncture, electric sensation during puncture | Numbness in the right buttocks, outer thigh and plantar, waist pain and limited movement | MRI: L4/5, L5/S1 disc herniation, L4/5 interspinous ligamentitis | PMII | Not recorded |
13 | M,55 | No | Ureteroscopy | CSEA, L3-4 | electric sensation during puncture | Lower back and right lower extremity pain, right lower limb weakness | NA | PMII | Not recorded |
14 | M, 64 | No | Appendectomy | SA, L2-3 | Lumbar kyphosis with five punctures, electric sensation during puncture | Weakness and numbness in the right lower limb | Spinal cord injury | PMAI, weakness and numbness in the right lower limb | Yes |
