Abstract:
STUDY DESIGN:Retrospective review. OBJECTIVE:To evaluate key risk factors for the development of C5 palsy after cervical corpectomy, including resection of the posterior longitudinal ligament (PLL). SUMMARY OF BACKGROUND DATA:Postoperative C5 palsy is a well-known complication after cervical spine surgery. It is unknown whether resection of the PLL affects the incidence of C5 palsy. METHODS:We performed a retrospective review of 459 consecutive patients undergoing anterior cervical corpectomies over a 15-year period. Medical records were reviewed to gather demographic data, operative details, and the incidence of C5 palsy. We performed regression analyses to identify variables that predicted the development of C5 palsy. RESULTS:Our final analysis included 397 patients (females 51.4%, mean age 55.6 ± 11.6 yrs). Anterior corpectomy alone was performed in 255 (64.2%) patients, and combined anterior and posterior fusion was performed in 142 (35.8%) patients. Twenty-four patients (6.0%) developed C5 nerve palsy. Univariable regression demonstrated age greater than 65 (odds ratio, OR 2.7, 95% confidence interval, CI 1.2 to 6.3), corpectomy of three or more levels (OR 6.3, 95% CI 2.1 to 18.9), presence of ossification of the PLL (OR 4.3, 95% CI 1.6 to 11.7), and complete or partial resection of the PLL (OR 2.6, 95% CI 1.0 to 6.7) predicted development of C5 palsy. Multivariable regression demonstrated that the odds of getting C5 palsy with complete or partial resection of the PLL is 4.0 times (95% CI 1.5 to 10.5) higher compared with patients with an intact PLL. There were no significant differences in C5 palsy rates based on surgical approach (anterior vs. anterior plus posterior), sex, smoking status, or diabetes. CONCLUSION:Age greater than 65 years, corpectomy of three or more levels, presence of ossification of the PLL, and complete or partial resection of the PLL significantly predicted the development of C5 palsy. LEVEL OF EVIDENCE:4.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Nassr A,Aleem IS,Eck JC,Woods B,Ponnappan RK,Donaldson WF 3rd,Kang JDdoi
10.1097/BRS.0000000000001806subject
Has Abstractpub_date
2017-04-01 00:00:00pages
E392-E397issue
7eissn
0362-2436issn
1528-1159pii
00007632-201704010-00007journal_volume
42pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:This study compared isokinetic and non-dynamometric tests for their correlation with subjective low back pain symptoms. METHODS:A total of 185 patients with chronic low back pain were examined. RESULTS:The repetitive arch-up and sit-up tests correlated significantly with pain and disability (Million inde...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409000-00017
更新日期:1994-09-01 00:00:00
abstract:STUDY DESIGN:Prospective randomized controlled animal model. OBJECTIVE:The purpose of this study is to determine whether the readministration of human recombinant bone morphogenetic protein-2 (rhBMP-2) induces an immune response and inhibits successful fusion in repeat posterolateral spinal surgery. SUMMARY OF BACKGR...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181cdd396
更新日期:2011-02-01 00:00:00
abstract:STUDY DESIGN:Changes in the electrophysiologic response of spinal dorsal horn neurons elicited by peripheral electrical stimulation were examined. OBJECTIVE:To investigate whether the electrical stimulation of peripheral nerves causes an inhibition of pain at the spinal cord level. SUMMARY OF BACKGROUND DATA:The wide...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200008010-00005
更新日期:2000-08-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional survey. OBJECTIVE.: To investigate the relationship between low back pain (LBP) and metabolic syndrome (Mets) in community-based Japanese subjects. SUMMARY OF BACKGROUND DATA.: Relatively few reports have demonstrated a relationship between general pain and Mets, and none have addressed the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31824231b8
更新日期:2012-06-01 00:00:00
abstract:STUDY DESIGN:Prospective, randomized, multicenter, Food and Drug Administration Investigational Device Exemption trial. OBJECTIVE:To evaluate the safety and efficacy of Coflex interlaminar stabilization compared with posterior spinal fusion in the treatment of 1- and 2-level spinal stenosis and degenerative spondyloli...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e31829a6d0a
更新日期:2013-08-15 00:00:00
abstract:STUDY DESIGN:A clinical case report of two brothers with Lesch-Nyhan syndrome found to have atlantoaxial instability is reported. OBJECTIVES:To report the clinical and radiologic findings and the operative outcome in these patients. SUMMARY OF BACKGROUND DATA:Both patients had biochemically proven Lesch-Nyhan syndrom...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199603150-00020
更新日期:1996-03-15 00:00:00
abstract:STUDY DESIGN:Controlled study to assess the efficacy of aprotinin and Amicar in reducing blood loss during complex spinal fusions. OBJECTIVES:To compare blood loss and the clotting profile with a thromboelastogram in patients with spinal deformities undergoing sequential anterior and posterior spinal fusions treated i...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200105150-00012
更新日期:2001-05-15 00:00:00
abstract::Clinical features, contrast-enhanced lumbar tomographic findings, and biochemical plasma fibrinolytic parameters were critically assessed in 70 patients suffering severe, chronic postsurgical low-back and radicular pain to determine the cause of their persisting symptoms. Patients exhibited gross functional disability...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199109000-00005
更新日期:1991-09-01 00:00:00
abstract:STUDY DESIGN:Case report of late postoperative complication. SUMMARY OF BACKGROUND DATA:There have been a number of reports of migration and extrusion of cervical fusion instrumentation. The majority of such cases have a benign outcome. To our knowledge, cervical instrumentation extrusion resulting in prevertebral abs...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000186861.82651.00
更新日期:2005-11-15 00:00:00
abstract:STUDY DESIGN:A retrospective database study. OBJECTIVE:The goal of this study was to (1) evaluate the trends in the use of electromyography (EMG) for instrumented posterolateral lumbar fusions (PLFs) in the United States and (2) assess the risk of neurological injury following PLFs with and without EMG. SUMMARY OF BA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001980
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To identify, describe, and evaluate common outcome measures in patients with chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA:The treatment of CLBP has been associated with multiple clinical challenges. Further complicating this is the myriad of outcome scores used to...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e31822ef74d
更新日期:2011-10-01 00:00:00
abstract:STUDY DESIGN:The classification system was derived through a literature review and expert opinion of experienced spine surgeons. In addition, a multicenter reliability and validity study of the system was conducted on a collection of trauma cases. OBJECTIVES:To define a novel classification system for subaxial cervica...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181557b92
更新日期:2007-10-01 00:00:00
abstract:STUDY DESIGN:We describe our surgical experience to remove osteoid osteomas and osteoblastomas of the occipitocervical junction. In this location, vertebral artery vicinity requires special consideration. OBJECTIVES:We illustrate our surgical approaches to remove lesions confidently, while minimizing bone resection to...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000180489.50171.ee
更新日期:2005-10-01 00:00:00
abstract:STUDY DESIGN:A biomechanical analysis of soft-tissue restraints to passive motion in odontoid fractures. OBJECTIVE:To quantify the role of the C1-C2 facet joint capsules and anterior longitudinal ligaments (ALLs) in the setting of a type II odontoid fracture in the elderly. SUMMARY OF BACKGROUND DATA:The odontoid pro...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31823b4ed0
更新日期:2012-05-20 00:00:00
abstract:STUDY DESIGN:Post hoc analysis of data from the National Low Back Pain Study, a prospective observational multicenter study of patients referred for the evaluation and treatment of persistent low back problems. OBJECTIVE:To identify patient characteristics associated with use of particular diagnostic imaging examinati...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/00007632-199707150-00021
更新日期:1997-07-15 00:00:00
abstract::Thirty-seven patients underwent surgery for late post-traumatic kyphosis in the lumbar, thoracolumbar, or thoracic spine. Indications for surgery included: increasing deformity, pain, and persistent neurologic deficit with paraparesis in eight, and development of late spinal stenosis in a further nine patients. All pa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198904000-00006
更新日期:1989-04-01 00:00:00
abstract:STUDY DESIGN:A case-control study. OBJECTIVE:To compare health-related quality of life and low back pain of healthy subjects with those of patients with nonidiopathic scoliosis (non-IS) and idiopathic scoliosis (IS) 21 years or more after surgery. SUMMARY OF BACKGROUND DATA:There have been a very small number of repo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31825a22c2
更新日期:2012-10-15 00:00:00
abstract:STUDY DESIGN:A prospective cohort design was used to evaluate the Functional Rating Index in a multicentered setting with 139 participants. The Functional Rating Index is a self-reporting instrument consisting of 10 items, each with 5 possible responses that express graduating degrees of disability. OBJECTIVES:The goa...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/00007632-200101010-00015
更新日期:2001-01-01 00:00:00
abstract:STUDY DESIGN:Absolute and relative growth modulation of apical spinal segments were measured during creation and correction of an experimental scoliosis in a goat model. OBJECTIVE:To differentiate relative and absolute changes in growth on the concavity and convexity of an experimental scoliosis treated with anterior ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000227263.43060.50
更新日期:2006-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:Compare outcomes of different treatment methods for intraspinal synovial cysts. SUMMARY OF BACKGROUND DATA:Intraspinal synovial cysts are cited as an increasing cause of back pain and radiculopathy. To date, few studies have compared outcomes of differing treatment methods ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181bdafed
更新日期:2010-05-01 00:00:00
abstract:STUDY DESIGN:A prospective cohort study of consecutive patients. OBJECTIVE:Determination of the quality of life (QoL) and prevalence of slip progression in patients with degenerative lumbar spondylolisthesis managed nonoperatively. SUMMARY OF BACKGROUND DATA:Lumbar spinal stenosis secondary to degenerative lumbar spo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002429
更新日期:2018-05-15 00:00:00
abstract:STUDY DESIGN:A retrospective study of patient outcomes after decompression and fusion for degenerative spondylolisthesis, using the SF-36 survey and a functional questionnaire. SUMMARY OF BACKGROUND DATA:In recent studies, patient outcomes have been examined more specifically; however, detailed functional outcomes are...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199903150-00012
更新日期:1999-03-15 00:00:00
abstract:STUDY DESIGN:Experimental investigation of the dynamics of nerve root circulation. OBJECTIVES:To study the dynamics of lumbosacral nerve root circulation by using seriography in dogs. SUMMARY OF BACKGROUND DATA:The vascular distribution to the nerve root has been discussed mainly from the morphologic aspects, and no ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200002010-00007
更新日期:2000-02-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of records and radiographs with postoperative questionnaire of patients with Marfan syndrome receiving surgical correction for spinal deformity. OBJECTIVE:To characterize and analyze the challenges of surgical correction for spinal deformity in Marfan syndrome and to present recommend...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200209150-00008
更新日期:2002-09-15 00:00:00
abstract:STUDY DESIGN:Prospective clinical study. OBJECTIVE:To assess Health-Related Quality of Life outcomes in patients undergoing surgery for spinal metastases. SUMMARY OF BACKGROUND DATA:Increasing life expectancy of patients with spinal metastases has resulted in greater interest in overall quality of life, including pai...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/01.brs.0000245838.37817.40
更新日期:2006-11-15 00:00:00
abstract:STUDY DESIGN:Survey, subgroup analysis, Q-analysis, and analysis of e-mail exchanges. OBJECTIVE:To assess what influences the choice of priorities for interventions to prevent back-related disability. SUMMARY OF BACKGROUND DATA:Back-related disability results from interaction of physical, psychological, occupational,...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000261035.62523.37
更新日期:2007-04-20 00:00:00
abstract:STUDY DESIGN:A baseline study of the general population and the health care providers in 3 Norwegian counties. OBJECTIVE:To investigate if beliefs about low back pain (LBP) are related to personal experiences and profession sought for care. SUMMARY OF BACKGROUND DATA:Myths about LBP that are abandoned by health profe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000171909.81632.fe
更新日期:2005-08-01 00:00:00
abstract::This study was undertaken to investigate the dynamic response of human cervical spine ligaments. Uniaxial tensile failure tests were conducted on anterior longitudinal ligament (AL) and ligamentum flavum (LF) structures. These ligaments were tested under in situ conditions by transecting all the elements except the on...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198910000-00013
更新日期:1989-10-01 00:00:00
abstract:STUDY DESIGN:The authors retrospectively reviewed 28 patients with multilevel Pott disease who underwent anterior radical débridement, decompression, and fusion with anterior spinal instrumentation and fibular allograft replacement. OBJECTIVES:To assess the efficacy of allograft fibular fusion and anterior spinal stab...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000048666.17934.17
更新日期:2003-03-01 00:00:00
abstract::Thirty-one consecutive patients underwent anterior interbody fusion of 40 levels of the lumbar spine using autogenous, autologous, or mixed iliac crest graft. Each patient's disc space height was measured preoperatively, immediately postoperatively, and an average of 29 months postoperatively. The immediate postoperat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198908000-00019
更新日期:1989-08-01 00:00:00