Anesthesia-Induced Rhabdomyolysis During Corrective Spine Surgery: A Case Report
Anuradha Patel
Department of Anesthesiology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 185 South Orange Ave, Newark, NJ 07101.
Sergey Pisklakov *
Department of Anesthesiology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 185 South Orange Ave, Newark, NJ 07101.
*Author to whom correspondence should be addressed.
Abstract
We present a case in which a pediatric cerebral palsy patient developed intraoperative myoglobinuria and rhabdomyolysis with elevated creatine kinase (CK) during prone scoliosis surgery. A diagnosis of rhabdomyolysis was established with the finding of tea-colored urine intraoperatively, and confirmed with elevated urine myoglobin and CK postoperatively. Cerebral palsy patients may develop anesthesia-induced rhabdomyolysis when inhalational anesthetics used.
Keywords: Anesthesia-induced rhabdomyolysis, intraoperative myoglobinuria, corrective spine surgery, perioperative complications