Yıl: 2019 Cilt: 26 Sayı: 9 Sayfa Aralığı: 1890 - 1895 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.06.326 İndeks Tarihi: 15-01-2020

Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature

Öz:
Aim: The aim of this retrospective study was to evaluate the possible complications and the complication management of cervicalanterior discectomies and fusions in light of the literature.Materials and Methods: The study population consisted of patients who presented to the clinic with neck pain and/or arm pain, lossof strength, and sensory disturbances who were operated on after a lack of response to conservative/medical treatment. This studyincluded 200 cervical discopathy and/or cervical spondylosis cases. The literature review was performed according to the PreferredReporting Items for Systematic Reviews and Meta‑analyses guidelines without language or country restrictions.Results: The most common complication was dysphagia. The complications also included dural tears, cerebrospinal fluid leakage,graft extrusions, neurological deterioration, postoperative hematomas, and recurrent laryngeal nerve injuries. These were found tobe consistent with the literature.Conclusion: In order to minimize the incidence of complications, the preoperative clinical examinations and radiological imaging ofeach patient should be examined carefully, and the appropriate surgical planning should be performed. It is also important to complywith the rules of asepsis and antisepsis, make sure the surgical time is as short as possible, and perform a dissection based on thepatient’s anatomy with the appropriate surgical equipment. In addition, it is important to wash the surgical area frequently, drain thesystem at the end of the operation, close the tissues in accordance with anatomical integrity, and perform close clinical follow-ups.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Smith-Hammond CA, New KC, Pietrobon R, et al. Prospective analysis of incidence and risk factors of dysphagia in spine surgery patients: comparison of anterior cervical, posterior cervical, and lumbar procedures. Spine 2004;29:1441-6.
  • 2. Bazaz R, Lee MJ, Yoo JU. Incidence of dysphagia after anterior cervical spine surgery: a prospective study. Spine 2002;27:2453-8.
  • 3. Bertalanffy H, Eggert HR. Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Acta Neurochir 1989;99:41-50.
  • 4. Burke JP, Gerszten PC, Welch WC. Iatrogenic vertebral artery injury during anterior cervical spine surgery. Spine J 2005;5:508-14, discussion 514.
  • 5. Cosgrove GR, Theron J. Vertebral arteriovenous fistula following anterior cervical spine surgery. Report of two cases. J Neurosurg 1987;66:297-9.
  • 6. Graham JJ. Complications of cervical spine surgery. A fiveyear report on a survey of the membership of the Cervical Spine Research Society by the Morbidity and Mortality Committee. Spine 1989;14:1046-50.
  • 7. Jellish WS, Jensen RL, Anderson DE, et al. Intraoperative electromyographic assessment of recurrent laryngeal nerve stress and pharyngeal injury during anterior cervical spine surgery with Caspar instrumentation. J Neurosurg 1999;91(2 Suppl):170-4.
  • 8. Jenis LG, Leclair WJ. Late vascular complication with anterior cervical discectomy and fusion. Spine 1994;19:1291-3.
  • 9. Karim A, Knapp J, Nanda A. Internal jugular venous thrombosis as a complication after an elective anterior cervical discectomy: case report. Neurosurgery 2006;59:E705, discussion E705.
  • 10. Klaerke A, Kroyer L, Lindeberg H, et al. Treatment of cervical disc disease using Cloward’s technique. I. General results, effect of different operative methods and complications in 1,106 patients. Acta Neurochir 1984;70:97-114.
  • 11. Yu NH, Jahng TA, Kim CH, et al.. Life-threatening late hemorrhage due to superior thyroid artery dissection after anterior cervical discectomy and fusion. Spine 2010;35:E739-42.
  • 12. Fountas KN, Kapsalaki EZ, Machinis T, et al. Extrusion of a screw into the gastrointestinal tract after anterior cervical spine plating. J Spinal Disord Tech 2006;19:199-203.
  • 13. Fountas KN, Kapsalaki EZ, Nikolakakos LG, et al. Anterior cervical discectomy and fusion associated complications. Spine 2007;32:2310-7.
  • 14. Pedram M, Castagnera L, Carat X, et al. Pharyngolaryngeal lesions in patients undergoing cervical spine surgery through the anterior approach: contribution of methylprednisolone. Eur Spine J 2003;12:84-90.
  • 15. Milavec H, Kellner C, Ravikumar N, et al. First Clinical Experience with a Carbon Fibre Reinforced PEEK Composite Plating System for Anterior Cervical Discectomy and Fusion. J Funct Biomater 2019; 10: E29.
  • 16. Robinson RA, Walker AE, Ferlic DC, et al. The results of anterior interbody fusion of the cervical spine. J Bone Joint Surg Am 1962;44:1569-87.
  • 17. Lied B, Sundseth J, Helseth E. Immediate (0-6 h), early (6- 72 h) and late (>72 h) complications after anterior cervical discectomy with fusion for cervical disc degeneration; discharge six hours after operation is feasible. Acta Neurochir 2008;150:111-8, discussion 118.
  • 18. Morpeth JF, Williams MF. Vocal fold paralysis after anterior cervical discectomy and fusion. Laryngoscope 2000;110:43-6.
  • 19. Espersen JO, Buhl M, Eriksen EF, et al. Treatment of cervical disc disease using Cloward’s technique. I. General results, effect of different operative methods and complications in 1,106 patients. Acta Neurochir 1984;70:97-114.
  • 20. Tew JM Jr, Mayfield FH. Complications of surgery of the anterior cervical spine. Clin Neurosurg 1976;23:424-34.
  • 21. Srikhande NN, Kumar VAK, Sai Kiran NA, et al. Clinical presentation and outcome after anterior cervical discectomy and fusion for degenerative cervical disc disease. J Craniovertebr Junction Spine 2019; 10: 28-32.
  • 22. Sonntag VKH, Klara P. Controversy in spine care. Is fusion necessary after anterior cervical discectomy? Spine 1996;21:1111-2.
APA KAPLAN N, HACIOĞLU KASIM F, ÖZGER Ö, Karaarslan N (2019). Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. , 1890 - 1895. 10.5455/annalsmedres.2019.06.326
Chicago KAPLAN NECATİ,HACIOĞLU KASIM Fatma Bahar,ÖZGER ÖZKAN,Karaarslan Numan Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. (2019): 1890 - 1895. 10.5455/annalsmedres.2019.06.326
MLA KAPLAN NECATİ,HACIOĞLU KASIM Fatma Bahar,ÖZGER ÖZKAN,Karaarslan Numan Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. , 2019, ss.1890 - 1895. 10.5455/annalsmedres.2019.06.326
AMA KAPLAN N,HACIOĞLU KASIM F,ÖZGER Ö,Karaarslan N Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. . 2019; 1890 - 1895. 10.5455/annalsmedres.2019.06.326
Vancouver KAPLAN N,HACIOĞLU KASIM F,ÖZGER Ö,Karaarslan N Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. . 2019; 1890 - 1895. 10.5455/annalsmedres.2019.06.326
IEEE KAPLAN N,HACIOĞLU KASIM F,ÖZGER Ö,Karaarslan N "Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature." , ss.1890 - 1895, 2019. 10.5455/annalsmedres.2019.06.326
ISNAD KAPLAN, NECATİ vd. "Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature". (2019), 1890-1895. https://doi.org/10.5455/annalsmedres.2019.06.326
APA KAPLAN N, HACIOĞLU KASIM F, ÖZGER Ö, Karaarslan N (2019). Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. Annals of Medical Research, 26(9), 1890 - 1895. 10.5455/annalsmedres.2019.06.326
Chicago KAPLAN NECATİ,HACIOĞLU KASIM Fatma Bahar,ÖZGER ÖZKAN,Karaarslan Numan Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. Annals of Medical Research 26, no.9 (2019): 1890 - 1895. 10.5455/annalsmedres.2019.06.326
MLA KAPLAN NECATİ,HACIOĞLU KASIM Fatma Bahar,ÖZGER ÖZKAN,Karaarslan Numan Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. Annals of Medical Research, vol.26, no.9, 2019, ss.1890 - 1895. 10.5455/annalsmedres.2019.06.326
AMA KAPLAN N,HACIOĞLU KASIM F,ÖZGER Ö,Karaarslan N Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. Annals of Medical Research. 2019; 26(9): 1890 - 1895. 10.5455/annalsmedres.2019.06.326
Vancouver KAPLAN N,HACIOĞLU KASIM F,ÖZGER Ö,Karaarslan N Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature. Annals of Medical Research. 2019; 26(9): 1890 - 1895. 10.5455/annalsmedres.2019.06.326
IEEE KAPLAN N,HACIOĞLU KASIM F,ÖZGER Ö,Karaarslan N "Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature." Annals of Medical Research, 26, ss.1890 - 1895, 2019. 10.5455/annalsmedres.2019.06.326
ISNAD KAPLAN, NECATİ vd. "Complications of 200 cervical anterior surgery cases and the management of these complications in light of the literature". Annals of Medical Research 26/9 (2019), 1890-1895. https://doi.org/10.5455/annalsmedres.2019.06.326