{"id":"d60d706b-baf9-4a81-9cd3-faed00ddfaeb","slug":"intraoperative-tension-pneumothorax-during-posterior-vertebral-column-resection-in-a-child-with-congenital-scoliosis","title":"Intraoperative tension pneumothorax during posterior vertebral column resection in a child with congenital scoliosis","authors":["Abolfazl Rahimizadeh","Valiollah Hassani","Nima Mohsenikabir","Ava Rahimizadeh","Mona Karimi","Naser Asgari"],"abstract":"Background: Intraoperative tension pneumothorax (TPT) is extremely rare in spinal surgery overall and particularly in extensive deformity procedures. Here, we report a TPT occurring in conjunction with posterior vertebral column resection (pVCR) for the treatment of congenital scoliosis. Case Description: A 12-year-old female undergoing congenital thoracic scoliosis surgery (e.g., pVCR) developed abrupt intraoperative increases in airway pressure and compromised hemodynamics that led to a TPT. This was directly attributed to an inadvertent pleural tear. Temporary drainage of the accumulated air was accomplished with a urethral catheter inserted directly into the pleural cavity. This was later supplemented with a standard chest tube. The child quickly improved and was routinely discharged a few days later. Conclusion: In patients undergoing pVCR, if the surgical team is faced with unexplained hemodynamic instability and increased airway resistance, a TPT should be strongly suspected and appropriately managed.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d60d706b-baf9-4a81-9cd3-faed00ddfaeb/featured/hero-1781563819743.png","publishDate":"2019-08-02T00:00:00.000Z","doi":"10.25259/SNI_338_2019","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2019/08/9552/SNI-10-155.pdf"}