Correspondence
Pre–operative lumbar drain placement: A technique for minimizing ischemic spinal cord injury during neuroblastoma resection

https://doi.org/10.1016/j.jpedsurg.2021.11.023Get rights and content

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Dear Editor

Neuroblastoma is the most common extracranial solid tumor in children with roughly 700 new cases diagnosed yearly [1]. Ischemic injury to the spinal cord is an uncommon but potentially devastating complication of thoraco–abdominal neuroblastoma resection. The Artery of Adamkiewicz (AoA), which supplies significant inflow to the anterior spinal artery, often arises from an intercostal or lumbar artery between T9 and T12, though its origin is highly variable and the artery has been found to arise

Declarations of Competing Interest

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Previous communication

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not–for–profit sectors.

Acknowledgment

We would like to acknowledge Drs. Catherine Wagner for her contribution of ideas, and Siri Khalsa, and David Altshuler for their involvement in the two presented patient cases.

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