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Table 4 Clinical status of perioperative stroke patients of spinal surgery

From: Perioperative stroke in patients undergoing spinal surgery: a retrospective cohort study

No

S

E

X

A

G

E

Comorbidity

Diagnosis

Procedure

Dura-

tion

(min)

ASA

Blood Transfusion

Base

SBP

(mm

Hg)

Max

SBP

(mm

Hg)

Min

SBP

(mmHg)

IOH

Clinical

Manifestation

Imaging

mRS

LOS

(days)

1

F

61

HT,HLP

Lumbar degenerative disc disease (L5/S1)

Posterior lumbar Spinal fusion

120

II

No

130

130

110

no

dizziness, dysarthria, dysphagia, hemiparalysis

Ischemia stroke, large artery stenosis

3

36

2

M

68

HT, CVD

lumbar spinal stenosis (L2/3, L4/5)

Posterior lumbar Spinal fusion

180

II

No

160

160

100

yes

somnolence, dysarthria, ataxia, facial palasy, hemisensory loss

Ischemia stroke, large artery stenosis

4

29

3

F

69

HT, DM

lumbar spinal stenosis (L3/4, L5/S1)

Transforaminal lumbar interbody fusion

180

II

No

170

170

105

yes

apathy, hemiparalysis, dysphasia, facial palsy

Ischemia stroke, large artery stenosis

4

25

4

M

48

HT

Cervical degenerative disc disease (C3/4)

Anterior cervical spianl fusion

90

II

No

140

140

110

no

apathy, hemiparalysis, gaze

Ischemia stroke, large artery stenosis

2

20

5

M

44

Smoking

Thoracic spine fracture and dislocation (T11, T12)

Thoracic spinal fusion

270

IV

No

120

120

105

no

dysarthria

Ischemia stroke

5

15

6

M

78

CVD

Lumbar spinal stenosis (L4/5)

Posterior lumbar spinal fusion

120

II

Yes

140

140

100

no

confusion, hemiparalysis

Hemorrhage stroke

5

203

7

F

80

HT

Ossification of thoracic ligamentum flavum (T1–3)

Posterior thoracic spinal fusion

180

IV

Yes

130

130

70

yes

somnolence, dysarthria, facial palasy

SAH, hemorrhage stroke

1

13

8

F

68

HT

Cervical degenerative disc disease (C3–6)

Posterior cervical spinal fusion

120

II

No

130

130

110

no

somnolence, vomitting, nystagmus, dysarthria, ataxia

SAH, hemorrhage stroke

4

38

9

F

74

HT, HLP

Ossification of thoracic ligamentum flavum (T10/11)

Posterior thoracic spinal fusion

210

III

Yes

145

145

90

yes

coma, dizziness, vomiting, dysphasia, gaze

Hemorrhage stroke

6

23

10

M

68

HT, DM

Lumbar spondylolisthesis L4; degenerative disc disease (L5/S1)

Posterior cervical spinal fusion

185

II

Yes

175

175

125

no

Coma, neck rigidity

SAH, hemorrhage stroke

3

53

11

F

64

HLP

Lumbar spondylolisthesis; spinal stenosis(L4/5, L5/S1)

Transforaminal lumbar interbody fusion

150

II

No

110

110

100

no

hemiparalysis

Ischemia stroke

2

23

12

M

76

CVD, HT, HLP

CHD

lumbar spinal stenosis (L4/5)

Transforaminal lumbar interbody fusion

90

III

No

165

165

120

no

dizziness, vomiting, dysarthria, hemiparalysis

Ischemia stroke

1

12

  1. HT hypertension, HLP hyperlipidemia, DM diabetes mellitus, CVD previous cerebral vascular disease, CHD coronary heart disease, ASA American Society of Anesthesiologists physical status classification system, SBP systolic blood pressure, MAX SBP Maximum systolic blood pressure during operation, MIN SBP Minimum systolic blood pressure during operation, IOH intraoperative hypotension, < 100 mmHg and/or < 30% baseline blood pressure, mRS modified Rankin Scale, LOS length of hospital stay