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The purpose of this case report is to detail the case of postoperative mesenteric ischemia in a 63-year-old man in whom a posterior approach was used to perform spinal deformity correction. Preoperatively, the patient had had significant lumbar hypolordosis. The reconstructive surgery with the use of posterior-based osteotomies resulted in a shortening of the posterior column of the spine but a relative lengthening of structures anterior to the spine. The significant lordosis achieved by the surgery led to an acute worsening of the mesenteric stenosis suffered by the patient. He required a vascular surgery intervention to restore perfusion to the bowel. Recognition of severe vasculopathy is important in anticipating potential postoperative vascular insufficiency. This case report will inform surgeons and clinicians to have a higher index of suspicion for the exacerbation of vascular insufficiency, including mesenteric pathology, in patients undergoing surgery that involves significant realignment of the spine. Preoperative recognition of vascular insufficiency and treatment of symptomatic disease may limit the occurrence of postoperative vascular complications in spinal reconstructive surgery.<\/jats:p>","DOI":"10.3171\/2016.8.spine16571","type":"journal-article","created":{"date-parts":[[2016,12,23]],"date-time":"2016-12-23T15:39:00Z","timestamp":1482507540000},"page":"426-429","source":"Crossref","is-referenced-by-count":6,"title":["Mesenteric ischemia following the correction of adult spinal deformity: case report"],"prefix":"10.3171","volume":"26","author":[{"given":"Krishn","family":"Khanna","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sigurd H.","family":"Berven","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine16571","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E1425","DOI":"10.1097\/BRS.0b013e3182a42a68","article-title":"Surgical site infections in spine surgery: identification of microbiologic and surgical characteristics in 239 cases","volume":"38","author":"Abdul-Jabbar A,","year":"2013","unstructured":"Abdul-Jabbar A, Berven SH, Hu SS, Chou D, Mummaneni PV, Takemoto S, : Surgical site infections in spine surgery: identification of microbiologic and surgical characteristics in 239 cases. 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