Quadriplegia following Tracheoplasty

We report a case of a 19-year-old female who with tracheal stenosis following prolonged intubation due to organophosphorous poisoning. Crico tracheal resection and end to end laryngotracheal anastomosis was done. She developed quadriplegia on the 2^nd post-operative day. MRI revealed ischemic segment from C3 to T1 segments of spinal cord. We think that the decreased blood flow in the anterior spinal artery with flexion of the neck in combination with hypotension was the direct cause of this major complication. Quadriplegia is a rare complication following Tracheoplasty and should be considered included in the routine consent.