Perioperative complications of combined anterior and posterior cervical decompression and fusion crossing the cervico-thoracic junction.

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

Spine

authors

Hart RA,Tatsumi RL,Hiratzka JR,Yoo JU

doi

10.1097/BRS.0b013e318190affe

subject

Has Abstract

pub_date

2008-12-15 00:00:00

pages

2887-91

issue

26

eissn

0362-2436

issn

1528-1159

pii

00007632-200812150-00009

journal_volume

33

pub_type

杂志文章

相关文献

SPINE文献大全
  • Anabolic effects of Peniel 2000, a peptide that regulates TGF-β1 signaling on intervertebral disc degeneration.

    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

    authors: Kwon YJ,Lee JW,Moon EJ,Chung YG,Kim OS,Kim HJ

    更新日期:2013-01-15 00:00:00

  • Effects of Training and Overtraining on Intervertebral Disc Proteoglycans.

    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

    authors: Ueta RHS,Tarini VAF,Franciozi CES,Tamaoki MJS,Medeiros VP,Nader HB,Faloppa F

    更新日期:2018-01-01 00:00:00

  • Cauda equina syndrome secondary to lumbar disc herniation: a meta-analysis of surgical outcomes.

    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

    authors: Ahn UM,Ahn NU,Buchowski JM,Garrett ES,Sieber AN,Kostuik JP

    更新日期:2000-06-15 00:00:00

  • A prospective, randomized controlled clinical trial of anterior lumbar interbody fusion using a titanium cylindrical threaded fusion device.

    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

    authors: Sasso RC,Kitchel SH,Dawson EG

    更新日期:2004-01-15 00:00:00

  • The treatment of concomitant odontoid fracture and lower cervical spine injuries.

    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

    authors: Li F,Chen Q,Xu K

    更新日期:2008-09-01 00:00:00

  • Immunohistochemical demonstration of sensory and autonomic nerve terminals in herniated lumbar disc tissue.

    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

    authors: Palmgren T,Grönblad M,Virri J,Seitsalo S,Ruuskanen M,Karaharju E

    更新日期:1996-06-01 00:00:00

  • Correction of scoliosis by muscle stimulation: biomechanical analyses.

    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

    authors: Schultz A,Haderspeck K,Takashima S

    更新日期:1981-09-01 00:00:00

  • The management of neurogenic bladder and sexual dysfunction after spinal cord injury.

    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

    authors: Burns AS,Rivas DA,Ditunno JF

    更新日期:2001-12-15 00:00:00

  • Complications of spinal fusion for scheuermann kyphosis: a report of the scoliosis research society morbidity and mortality committee.

    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

    authors: Coe JD,Smith JS,Berven S,Arlet V,Donaldson W,Hanson D,Mudiyam R,Perra J,Owen J,Marks MC,Shaffrey CI

    更新日期:2010-01-01 00:00:00

  • Cutaneous silent periods in the assessment of mild cervical spondylotic myelopathy.

    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

    authors: Stetkarova I,Kofler M

    更新日期:2009-01-01 00:00:00

  • Controlled hypotensive anesthesia during spinal surgery. A retrospective study.

    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

    authors: Lawhon SM,Kahn A 3rd,Crawford AH,Brinker MS

    更新日期:1984-07-01 00:00:00

  • A 10-year follow-up of the outcome of lumbar microdiscectomy.

    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

    authors: Findlay GF,Hall BI,Musa BS,Oliveira MD,Fear SC

    更新日期:1998-05-15 00:00:00

  • Thoracoscopic Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: Follow-up Curve Behavior According to Sanders Skeletal Maturity Staging.

    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

    authors: Alanay A,Yucekul A,Abul K,Ergene G,Senay S,Ay B,Cebeci BO,Yalinay Dikmen P,Zulemyan T,Yavuz Y,Yilgor C

    更新日期:2020-11-15 00:00:00

  • Anterior reduction of interlocking facets in the lower cervical spine.

    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

    authors: de Oliveira JC

    更新日期:1979-05-01 00:00:00

  • Results of the prospective, randomized, multicenter Food and Drug Administration investigational device exemption study of the ProDisc-L total disc replacement versus circumferential fusion for the treatment of 1-level degenerative disc disease.

    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

    authors: Zigler J,Delamarter R,Spivak JM,Linovitz RJ,Danielson GO 3rd,Haider TT,Cammisa F,Zuchermann J,Balderston R,Kitchel S,Foley K,Watkins R,Bradford D,Yue J,Yuan H,Herkowitz H,Geiger D,Bendo J,Peppers T,Sachs B,Girardi

    更新日期:2007-05-15 00:00:00

  • C1 lateral mass screw insertion with protection of C1-C2 venous sinus: technical note and review of the literature.

    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

    authors: Pan J,Li L,Qian L,Tan J,Sun G,Li X

    更新日期:2010-10-01 00:00:00

  • Changes in serum melatonin levels in response to pinealectomy in the chicken and its correlation with development of scoliosis.

    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

    authors: Wang X,Moreau M,Raso VJ,Zhao J,Jiang H,Mahood J,Bagnall K

    更新日期:1998-11-15 00:00:00

  • Comparison of Three Reconstructive Techniques in the Surgical Management of Patients With Four-Level Cervical Spondylotic Myelopathy.

    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

    authors: Li Z,Wang H,Tang J,Ren D,Li L,Hou S,Zhang H,Hou T

    更新日期:2017-05-15 00:00:00

  • Anterior cervical plate fixation: a biomechanical study to evaluate the effects of plate design, endplate preparation, and bone mineral density.

    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

    authors: Dvorak MF,Pitzen T,Zhu Q,Gordon JD,Fisher CG,Oxland TR

    更新日期:2005-02-01 00:00:00

  • Three-dimensional rotational X-ray imaging for spine surgery: a quantitative validation study comparing reconstructed images with corresponding anatomical sections.

    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

    authors: Verlaan JJ,van de Kraats EB,van Walsum T,Dhert WJ,Oner FC,Niessen WJ

    更新日期:2005-03-01 00:00:00

  • A comparative study of pyogenic and tuberculous spondylodiscitis.

    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

    authors: Kim CJ,Song KH,Jeon JH,Park WB,Park SW,Kim HB,Oh MD,Choe KW,Kim NJ

    更新日期:2010-10-01 00:00:00

  • Function Preservation or Oncological Appropriateness in Spinal Bone Tumors?: A Case Series of Segmental Resection of the Spinal Canal Content (Spinal Amputation).

    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

    authors: Girolami M,Boriani S,Ghermandi R,Bandiera S,Barbanti-Brodano G,Terzi S,Tedesco G,Evangelisti G,Pipola V,Ricci A,Cecchinato R,Gasbarrini A

    更新日期:2020-05-15 00:00:00

  • Coexistence of cervical and lumbar disc disease.

    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

    authors: Jacobs B,Ghelman B,Marchisello P

    更新日期:1990-12-01 00:00:00

  • Preoperative Factors Predict Postoperative Trajectories of Pain and Disability Following Surgery for Degenerative Lumbar Spinal Stenosis.

    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

    authors: Hébert JJ,Abraham E,Wedderkopp N,Bigney E,Richardson E,Darling M,Hall H,Fisher CG,Rampersaud YR,Thomas KC,Jacobs WB,Johnson M,Paquet J,Attabib N,Jarzem P,Wai EK,Rasoulinejad P,Ahn H,Nataraj A,Stratton A,Manson N

    更新日期:2020-11-01 00:00:00

  • Spontaneous hemorrhage of a spinal ependymoma: a rare cause of acute cauda equina syndrome: a case report.

    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

    authors: Tait MJ,Chelvarajah R,Garvan N,Bavetta S

    更新日期:2004-11-01 00:00:00

  • Organic status, psychological disturbance, and pain report characteristics in low-back-pain patients on compensation.

    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

    authors: Leavitt F,Garron DC,McNeill TW,Whisler WW

    更新日期:1982-07-01 00:00:00

  • Spine update. Degenerative lumbar spondylolisthesis.

    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

    authors: Herkowitz HN

    更新日期:1995-05-01 00:00:00

  • Chemonucleolysis versus surgical discectomy. Comparison of costs and results in workers' compensation claimants.

    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:

    authors: Norton WL

    更新日期:1986-06-01 00:00:00

  • Do corticosteroids produce additional benefit in nerve root infiltration for lumbar disc herniation?

    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

    authors: Tachihara H,Sekiguchi M,Kikuchi S,Konno S

    更新日期:2008-04-01 00:00:00

  • Radiation exposure to the spine surgeon during fluoroscopically assisted pedicle screw insertion.

    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

    authors: Rampersaud YR,Foley KT,Shen AC,Williams S,Solomito M

    更新日期:2000-10-15 00:00:00