{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:45Z","timestamp":1740148605688,"version":"3.37.3"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"S 02","license":[{"start":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:00:00Z","timestamp":1735257600000},"content-version":"vor","delay-in-days":56,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>D\u00e9ficit visual ap\u00f3s \u00e0 cirurgia da coluna vertebral \u00e9 raro, por\u00e9m tr\u00e1gico. As principais causas incluem les\u00e3o ocular externa, cegueira cortical, oclus\u00e3o da art\u00e9ria central da retina e neuropatia \u00f3ptica isqu\u00eamica. Na cirurgia de escoliose, o tempo prolongado, as grandes perdas sangu\u00edneas, a posi\u00e7\u00e3o em dec\u00fabito ventral, o desequil\u00edbrio hidroeletrol\u00edtico e a perda de liquor est\u00e3o associados a essa complica\u00e7\u00e3o.<\/jats:p><jats:p>Em 849 cirurgias de corre\u00e7\u00e3o de escoliose, 3 pacientes evolu\u00edram com d\u00e9ficit visual no p\u00f3s-operat\u00f3rio, e 2 obtiveram recupera\u00e7\u00e3o completa da acuidade visual, mas 1 permaneceu com sequela parcial.<\/jats:p><jats:p>Existem quatro causas de amaurose p\u00f3s-cir\u00fargica: neuropatia \u00f3ptica isqu\u00eamica, oclus\u00e3o da art\u00e9ria central da retina, les\u00e3o ocular externa e cegueira de origem cortical. Como a preven\u00e7\u00e3o dessa complica\u00e7\u00e3o n\u00e3o pode ser garantida, \u00e9 fundamental que se esclare\u00e7a o risco de d\u00e9ficit visual para os pacientes que ser\u00e3o submetidos \u00e0 cirurgia de escoliose, que devem assinar o termo de consentimento livre e esclarecido.<\/jats:p><jats:p>A perda visual ap\u00f3s cirurgia da coluna vertebral para corre\u00e7\u00e3o de escoliose \u00e9 uma complica\u00e7\u00e3o rara, por\u00e9m grave e, por vezes, irrevers\u00edvel. \u00c9 fundamental que a equipe cir\u00fargica saiba de sua exist\u00eancia para adotar medidas preventivas e, consequentemente, reduzir a sua incid\u00eancia.<\/jats:p>","DOI":"10.1055\/s-0044-1791188","type":"journal-article","created":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T00:05:21Z","timestamp":1735344321000},"page":"e259-e263","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Perda visual ap\u00f3s cirurgia de escoliose: O que o cirurgi\u00e3o e os pacientes precisam saber? Relato de tr\u00eas casos"],"prefix":"10.1055","volume":"59","author":[{"given":"Alderico Gir\u00e3o Campos de","family":"Barros","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da Coluna, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augusto Ribeiro de Jesus","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da Coluna, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucas Rocha","family":"Cavalvanti","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da Coluna, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Eduardo Carelli Teixeira da","family":"Silva","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da Coluna, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5647-2248","authenticated-orcid":false,"given":"Jo\u00e3o Antonio Matheus","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s-gradua\u00e7\u00e3o, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,27]]},"reference":[{"issue":"13","key":"ref1","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1097\/BRS.0b013e318175d1bf","article-title":"Visual loss after spine surgery: a population-based study","volume":"33","author":"C G Patil","year":"2008","journal-title":"Spine"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1097\/00007632-199706150-00009","article-title":"Visual loss as a complication of spine surgery. 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