Fibrodysplasia ossificans progressiva: anesthetic management in complex orthopedic spine procedures.

Abstract:

:Fibrodysplasia ossificans progressiva (FOP) is a rare disorder of the connective tissue leading to progressive tissue ossification and immobilization. Soft-tissue trauma may exacerbate this condition, causing further ossification. Multisystem involvement includes restrictive lung disease, cervical ankylosis with limited mouth opening, and cardiac dysfunction. A 39-year-old woman with FOP presented with multiple orthopedic spine and femur fractures sustained from a fall. Anesthetic management was complicated by airway, pulmonary, and positioning challenges. Neuromonitoring allowed identification of spinal cord ischemia while avoiding a wake-up test.

journal_name

J Clin Anesth

authors

Gorji R,Li F,Nastasi R,Stuart S

doi

10.1016/j.jclinane.2010.11.004

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

558-61

issue

7

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(11)00261-3

journal_volume

23

pub_type

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