Spinal Cord Protection Strategies

  • John G. T. Augoustides


Spinal cord protection and preservation during and after reconstruction of the descending thoracic aorta (DTA) is clinically important because spinal cord injury is still common in high-risk groups and it significantly worsens perioperative mortality and morbidity.13 There is a diverse set of aortic pathologies that may require reconstruction of the DTA (refer to Table 11.1 for their description and classification). Aortic repair for each of these pathologies carries a risk of spinal cord ischemia (SCI) that may present intraoperatively or postoperatively. In the contemporary era, there are three established options for reconstruction of the DTA – surgical repair (SR), thoracic endovascular aortic repair (TEVAR), and hybrid repair (involving both SR and TEVAR). The type of DTA repair is important to understand as it may significantly influence the risk for SCI. The specific details of these aortic repair techniques are covered elsewhere in this textbook.


Spinal Cord Motor Evoke Potential Spinal Cord Ischemia Deep Hypothermic Circulatory Arrest Lower Extremity Weakness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Anesthesiology and Critical CareUniversity of Pennsylvania Medical CenterPhiladelphiaUSA

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