Journal article
Transient loss of motor-evoked responses associated with caudal injection of morphine in a patient with spondylolisthesis undergoing spinal fusion
Paediatric Anaesthesia, Vol.16(5), pp.568-572
2006
Abstract
A 7-year-old girl having posterior spinal fusion for Grade 3 anterior spondylolisthesis at the L5/S1 level was administered 2.5 mg of morphine in 10 ml saline via the caudal epidural route before surgery. Motor-evoked responses were markedly diminished in her lower limbs for 1 h following this but returned spontaneously. She suffered no neurological injury. The cause for this is postulated to be transient cauda equina compression from the volume of injectate. This complication of caudal injection has not been reported before. The possible mechanisms for this are discussed. We believe that significant L5/S1 spondylolisthesis should be considered a contraindication to the use of caudal epidural injections. © 2005 Blackwell Publishing Ltd.
Details
- Title
- Transient loss of motor-evoked responses associated with caudal injection of morphine in a patient with spondylolisthesis undergoing spinal fusion
- Authors
- P R J Gibson (Author) - University of New South WalesS Johnston (Author) - University of New South WalesJim Lagopoulos (Author) - University of New South WalesJ L Cummine (Author) - University of New South Wales
- Publication details
- Paediatric Anaesthesia, Vol.16(5), pp.568-572
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2006
- DOI
- 10.1111/j.1460-9592.2005.01770.x
- ISSN
- 1155-5645
- Organisation Unit
- University of the Sunshine Coast, Queensland; Thompson Institute
- Language
- English
- Record Identifier
- 99449210902621
- Output Type
- Journal article
Metrics
448 Record Views
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Anesthesiology
- Pediatrics