Airway Obstruction After Anterior Cervical Spine Surgery

1992 ◽  
Vol 4 (3) ◽  
pp. 199-202 ◽  
Author(s):  
C. L. Gwinnutt ◽  
G. R. Walsh ◽  
R. Kumar
2020 ◽  
Vol 11 ◽  
pp. 124
Author(s):  
Giovanni Miccoli ◽  
Emanuele La Corte ◽  
Ernesto Pasquini ◽  
Giorgio Palandri

Background: One of the most serious and potentially life-threatening adverse events associated with anterior cervical spine surgery is postoperative hematoma with acute airway obstruction. The causes of unpredicted delayed bleeding are, however, not fully elucidated. Here, we report a case of delayed arterial bleeding and sudden airway obstruction following a two-level ACDF. Case Description: A 52-year-old male presented with the right paracentral disc herniations at the C4–C5 and C5–C6 levels. A two-level ACDF was performed. Notably, on the 5th postoperative day, the patient developed an acute respiratory distress due to a large right lateral retrotracheal hematoma requiring emergency evacuation at the bedside. This was followed by formal ligation of a branch of the right superior thyroid artery in the operating room. In addition, an emergency tracheotomy was performed. By postoperative day 15, the tracheotomy was removed, and the patient was neurologically intact. Conclusion: A superior thyroid artery hemorrhage should be suspected if a patient develops delayed neck swelling with or without respiratory decompensation several days to weeks following an ACDF. Notably, these hematomas should be immediately recognized and treated (i.e., decompression starting at the bedside and completed in the operating room) to prevent catastrophic morbidity or mortality.


2020 ◽  
Vol 66 (5) ◽  
pp. 414-416
Author(s):  
V. Poissonnet ◽  
V. Lubrano ◽  
A. Sadeler ◽  
E. Chabrillac

1991 ◽  
Vol 100 (10) ◽  
pp. 852-855 ◽  
Author(s):  
Yves Goffart ◽  
Jacques Lenelle ◽  
Pierre Moreau ◽  
Jean Boverie

2020 ◽  
Author(s):  
Xiao-feng Zhao ◽  
Xiang-dong Lu ◽  
Yi-bo Zhao ◽  
De-tai Qi ◽  
Wen-xuan Wang ◽  
...  

Abstract BACKGROUND To observed and evaluated the clinical efficacy of a new type cervical anterior screw plate system development for anterior cervical surgery. Methods 27 patients with cervical spine disease treated with new PRUNUS nail plate internal fixation were selected as observation group, and 29 patients treated with conventional cervical anterior screw fixation were selected as the control group. Cervical stability, internal fixation position and bone graft fusion were evaluated according to imaging data. The operative time, intraoperative blood loss, cervical Cobb angle, VAS scores, and JOA scores were compared between the two groups. Spinal function scores and neurological improvement rates were used to evaluate the clinical efficacy of the new PRUNUS spine plate. Results There were statistical differences in operation time and blood loss between the two groups (P<0.05). The difference in Cobb angle, JOA score and improvement rate, VAS score before and after surgery in two groups were statistically significant (P<0.05), but no significant differences between two groups (P>0.05). Conclusion The new PRUNUS spine plate system can be applied to the anterior cervical spine surgery, and its clinical efficacy was similar to the traditional cervical anterior plate. But PRUNUS simplified the operation process, especially for the osteoporosis patients.


2017 ◽  
Vol 3 (3) ◽  
pp. 444-459 ◽  
Author(s):  
Anastasia Tasiou ◽  
Theofanis Giannis ◽  
Alexandros G. Brotis ◽  
Ioannis Siasios ◽  
Iordanis Georgiadis ◽  
...  

Spine ◽  
2011 ◽  
Vol 36 (17) ◽  
pp. 1387-1391 ◽  
Author(s):  
Peter A. Siska ◽  
Ravi K. Ponnappan ◽  
Justin B. Hohl ◽  
Joon Y. Lee ◽  
James D. Kang ◽  
...  

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