Acute Colonic Pseudo-Obstruction After Posterior Spinal Fusion: A Case Report and Literature Review

Acute colonic pseudo-obstruction (ACPO) or Ogilvie's syndrome occurs in 0.22%–7% of patients undergoing surgery, with a mortality of up to 46%. ACPO increased median hospital days versus control in spinal surgery (14 vs. 6 days; P < 0.001). If defined as postoperative ileus, the incidence was 7%–13.4%. Postoperative ileus is associated with 2.9 additional hospital days and an $80,000 increase in cost per patient. We present a case of ACPO in an...