• J Pediatr Orthop B · Sep 2007

    Case Reports

    Superior mesenteric artery syndrome after scoliosis repair surgery: a case study and reassessment of the syndrome's pathogenesis.

    • Roei Hod-Feins, Leonel Copeliovitch, Ibrahim Abu-Kishk, Gideon Eshel, Gad Lotan, Ehud Shalmon, Yoram Anekstein, Yigal Mirovsky, and Youssef Masharawi.
    • Spine Unit, Assaf Harofeh Medical Center, Zerifin, Israel.
    • J Pediatr Orthop B. 2007 Sep 1;16(5):345-9.

    AbstractWe carried out a retrospective analysis to investigate the prevalence of superior mesentery artery syndrome (SMAS) in children who underwent scoliosis surgical repair at our hospital between 1998 and 2006 and to reassess the syndrome's pathogenesis. Among 133 consecutive pediatric patients, two cases were identified, both 13-year-old girls with idiopathic scoliosis, undergoing surgery using third-generation instrumentation systems. Conservative management achieved resolution of the symptoms without recurrence. SMAS prevalence in our series was 1.6%. SMAS might occur after derotation and translation forces application, and even with nonextreme corrections. Low BMI and significant weight loss at presentation are not mandatory.

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