Abstract:
STUDY DESIGN:Retrospective review. OBJECTIVE:To determine the perioperative complications for patients undergoing single stage, multilevel, anterior, and posterior cervical fusions crossing the cervico-thoracic junction. SUMMARY OF BACKGROUND DATA:Cervical spinal stenosis with kyphosis involving 3 or more disc levels is often treated via combined anterior decompression and posterior instrumented fusion. When long cervical fusions end at C7, many surgeons extend the posterior fusion across the cervico-thoracic junction to reduce the potential for adjacent segment breakdown. Perioperative complications associated with these procedures have not previously been described. METHODS:A retrospective review of perioperative complications occurring in patients undergoing combined anterior decompression and posterior instrumented arthrodesis crossing the cervico-thoracic junction. The effect of operative time, blood loss, and fluid replacement on the need for extended intubation was tested with a Fisher exact test. RESULTS:Thirteen patients fit the inclusion criteria. Nine patients experienced at least 1 complication (69%, 9/13) during the perioperative period, comprising 16 minor and 5 major complications. The most common complications were dysphagia (46%, 6/19) and airway edema requiring extended intubation (38%, 5/13). CONCLUSION:Complications are frequent following these procedures, although the majority were minor and resolved without lasting effect. Airway edema requiring prolonged intubation or reintubation was frequent. With the numbers available, we were unable to show a relationship between the need for extended intubation and variables including operative time, blood loss, or volume of fluid replacement.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Hart RA,Tatsumi RL,Hiratzka JR,Yoo JUdoi
10.1097/BRS.0b013e318190affesubject
Has Abstractpub_date
2008-12-15 00:00:00pages
2887-91issue
26eissn
0362-2436issn
1528-1159pii
00007632-200812150-00009journal_volume
33pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:An in vitro study with bovine intervertebral disc (IVD) cells and an in vivo study with a rabbit disc degeneration model on the extracellular matrix metabolism by a biglycan-derived peptide (Peniel 2000; P2K). OBJECTIVE:To investigate the mechanism for P2K-induced increases in extracellular matrix and in ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31827aa896
更新日期:2013-01-15 00:00:00
abstract:STUDY DESIGN:Animal experimental study. OBJECTIVE:Evaluate the effect of physical activity and overtraining condition on glycosaminoglycan concentration on the intervertebral disc (IVD) using a rat running model. SUMMARY OF BACKGROUND DATA:Some guidelines recommend the implementation of a physical exercise program as...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002368
更新日期:2018-01-01 00:00:00
abstract:STUDY DESIGN:A meta-analysis of surgical outcomes of cauda equina syndrome secondary to lumbar disc herniation. OBJECTIVES:To determine the relationship between time to decompression after onset of cauda equina syndrome and clinical outcome, and to identify preoperative variables that were associated with outcomes. S...
journal_title:Spine
pub_type: 杂志文章,meta分析
doi:10.1097/00007632-200006150-00010
更新日期:2000-06-15 00:00:00
abstract:STUDY DESIGN:A prospective, randomized, controlled clinical trial comparing a cylindrical threaded titanium cage to a femoral ring allograft control for anterior lumbar interbody fusion. OBJECTIVE:To compare these two implants with regard to arthrodesis. Secondary outcome measures included pain relief, neurological st...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1097/01.BRS.0000107007.31714.77
更新日期:2004-01-15 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To investigate the treatment of odontoid fractures combined with lower cervical spinal injury. SUMMARY OF BACKGROUND DATA:Odontoid fractures combined with a lower cervical spinal injury are rarely reported in the literature and their incidence and characteristics are not ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817c4ecf
更新日期:2008-09-01 00:00:00
abstract:STUDY DESIGN:Thirty-five lumbar disc herniations removed at surgery were studied by indirect immunocytochemistry. OBJECTIVES:To localize immunohistochemically both sensory and autonomic nerve terminals in disc herniations. SUMMARY OF BACKGROUND DATA:Using various more or less specific histologic and histochemical met...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199606010-00004
更新日期:1996-06-01 00:00:00
abstract::Quantitative theoretical analyses of the ability of trunk muscle contraction forces to reduce lateral curves in the spine are presented. The effects of contraction of each of 68 muscle slips on each of 13 configurations of scoliosis were examined using biomechanical models of the trunk. The lateral curve, sagittal cur...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198109000-00008
更新日期:1981-09-01 00:00:00
abstract:STUDY DESIGN:Review article. OBJECTIVES:To review the medical literature and comprehensively discuss the management of bladder and sexual dysfunction after spinal cord injury. SUMMARY OF BACKGROUND DATA:The physiologic alterations that accompany spinal cord injury can lead to significant bladder and sexual dysfunctio...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-200112151-00022
更新日期:2001-12-15 00:00:00
abstract:STUDY DESIGN:Retrospective review of a prospectively collected, multicentered database from the Scoliosis Research Society. OBJECTIVES:To evaluate incidences of complications in a series of spinal fusions for Scheuermann kyphosis (SK) and to assess whether the incidence of complications is associated with patient age ...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181c47f0f
更新日期:2010-01-01 00:00:00
abstract:STUDY DESIGN:Clinical, neuroradiologic, and neurophysiologic description of 21 patients with compressive cervical spondylotic myelopathy (CCSM). OBJECTIVE:To describe the utility of cutaneous silent periods (CSPs) for functional evaluation of mild CCSM. SUMMARY OF BACKGROUND DATA:Electroneurography, electromyography,...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31818f8be3
更新日期:2009-01-01 00:00:00
abstract::A retrospective study has been made of 264 posterior spinal fusions performed between 1972 and 1978 at the Good Samaritan Hospital in Cincinnati. Two hundred ten of the procedures were performed under hypotensive anesthesia. Blood loss and total blood replacement were related to the mean arterial pressure (MAP) during...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198407000-00005
更新日期:1984-07-01 00:00:00
abstract:STUDY DESIGN:A retrospective analysis of the outcome of lumbar microdiscectomy, with independent assessment of outcome. OBJECTIVES:To explore whether the initial positive outcome after microdiscectomy is maintained at long-term follow-up. SUMMARY OF BACKGROUND DATA:Previous reports on long-term outcome after lumbar d...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199805150-00019
更新日期:1998-05-15 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of prospectively collected data. OBJECTIVE:To report the follow-up curve behaviors in different Sanders staging groups. SUMMARY OF BACKGROUND DATA:Vertebral body tethering (VBT) is a growth modulation technique that allows gradual spontaneous follow-up curve correction as the patie...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003643
更新日期:2020-11-15 00:00:00
abstract::Twelve patients with locked facets of the lower cervical spine were surgically treated through an anterior approach. The interlocking was bilateral in 2 cases and unilateral in 10; in all patients, skull traction failed to obtain the reduction. The technique of anterior reduction is described, with particular attentio...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197905000-00003
更新日期:1979-05-01 00:00:00
abstract:STUDY DESIGN:A prospective, randomized, multicenter, Food and Drug Administration-regulated Investigational Device Exemption clinical trial. OBJECTIVE:To evaluate the safety and effectiveness of the ProDisc-L (Synthes Spine, West Chester, PA) lumbar total disc replacement compared to circumferential spinal fusion for ...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e318054e377
更新日期:2007-05-15 00:00:00
abstract:STUDY DESIGN:This is a technical note and review of the literature. OBJECTIVE:We propose to describe a revised surgical technique of C1 lateral mass screw insertion with protection of C1-C2 venous sinus surrounding the C2 nerve root. SUMMARY OF BACKGROUND DATA:During C1 lateral mass screw insertion and in posterior C...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181e215ff
更新日期:2010-10-01 00:00:00
abstract:STUDY DESIGN:Normal, sham, and groups of chickens subjected to pinealectomy from which serum melatonin levels were measured and correlated with scoliosis development in a period of 5 weeks. OBJECTIVES:To measure serum melatonin levels in chickens subjected to pinealectomy and control chickens and correlate findings wi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199811150-00002
更新日期:1998-11-15 00:00:00
abstract:STUDY DESIGN:Retrospective clinical series. OBJECTIVE:To compare perioperative parameters, clinical outcomes, radiographic parameters, and complication rates of three reconstructive techniques after the anterior decompression of four-level cervical spondylotic myelopathy (CSM). SUMMARY OF BACKGROUND DATA:At present, ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001907
更新日期:2017-05-15 00:00:00
abstract:STUDY DESIGN:A biomechanical study using multidirectional flexibility testing in a human cadaveric cervical spine model of a flexion-distraction injury. OBJECTIVES:To compare the immediate postoperative stabilizing effect of dynamic and rigid anterior cervical plates and to assess the confounding effects of bone miner...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000152154.57171.92
更新日期:2005-02-01 00:00:00
abstract:STUDY DESIGN:A validation study was done in which reconstructed three-dimensional rotational x-ray images were quantitatively compared with corresponding anatomic sections. OBJECTIVES:To assess the accuracy of reconstructed images acquired on a three-dimensional rotational x-ray imaging device. SUMMARY OF BACKGROUND ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000154650.31781.85
更新日期:2005-03-01 00:00:00
abstract:STUDY DESIGN:We performed a retrospective review of 126 cases of infectious spondylodiscitis over a 4-year period. OBJECTIVE:Differentiation between pyogenic spondylodiscitis (PS) and tuberculous spondylodiscitis (TS) is essential for deciding on the appropriate therapeutic regimen. The aim of this study was to compar...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181e04dd3
更新日期:2010-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of prospectively collected data. OBJECTIVE:To evaluate (1) if the segmental resection of the content of the spinal canal could provide an Enneking appropriate tumor-free margin for local control of primary bone tumors surrounding and invading the canal and (2) the safety profile of th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003356
更新日期:2020-05-15 00:00:00
abstract::A retrospective analysis of 200 patients requiring cervical disc surgery was performed to determine the frequency of coexistent lumbar disc or spine abnormalities. The duration of follow-up ranged from 5 to 25 years, averaging 14 years. Sixty percent were women and 40% were men, their ages ranging from 25-73 years. An...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199012000-00006
更新日期:1990-12-01 00:00:00
abstract:STUDY DESIGN:Longitudinal analysis of prospectively collected data. OBJECTIVE:Investigate potential predictors of poor outcome following surgery for degenerative lumbar spinal stenosis (LSS). SUMMARY OF BACKGROUND DATA:LSS is the most common reason for an older person to undergo spinal surgery, yet little information...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000003587
更新日期:2020-11-01 00:00:00
abstract:STUDY DESIGN:An interesting case of spontaneous bleeding from an ependymoma of the filum terminale is presented. OBJECTIVES:To document a rare case of rapid neurologic deterioration as a consequence of spinal tumoral hemorrhage and to highlight important issues regarding tumor histologic subtype and the impact of anti...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000143663.27275.7f
更新日期:2004-11-01 00:00:00
abstract::The relationship betewwn compensation and three variables--psychologic disturbance, organic status, and pain report characteristics--was assessed. Patients on compensation were clinically similar to patients not on compensation in the relative frequency of cases of psychologic disturbance and nonorganic findings in ea...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198207000-00010
更新日期:1982-07-01 00:00:00
abstract::Degenerative lumbar spondylolisthesis associated with spinal stenosis is a common condition of the aging spine. This article presents a detailed description of the pathophysiology, clinical presentation, and nonoperative and operative intervention of this condition. ...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199505000-00018
更新日期:1995-05-01 00:00:00
abstract::A retrospective review of insurance claim files was conducted to compare the costs of chemonucleolysis with surgical discectomy. Twenty-nine surgeons performed 61 chemonucleolysis procedures and 44 surgical discectomies on SAIF (State Accident Insurance Fund, Inc.--a major Oregon workers' compensation insurance compan...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
abstract:STUDY DESIGN:Experimental animal study. OBJECTIVE:To determine whether corticosteroids produce additional benefit to nerve root infiltration (NRI) for experimental lumbar disc herniation. SUMMARY OF BACKGROUND DATA:NRI is used for nonsurgical treatment of radicular symptoms caused by lumbar disc herniation or lumbar ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181696132
更新日期:2008-04-01 00:00:00
abstract:STUDY DESIGN:In vitro study to determine occupational radiation exposure during lumbar fluoroscopy. OBJECTIVES:To assess radiation exposure to the spine surgeon during fluoroscopically assisted thoracolumbar pedicle screw placement. SUMMARY OF BACKGROUND DATA:Occupational radiation exposure during a variety of fluoro...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200010150-00016
更新日期:2000-10-15 00:00:00