scholarly journals Treatment for early postoperative esophageal fistula complicated with anterior cervical surgery

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668441 ◽  
Author(s):  
Haifeng Yuan ◽  
Huiqiang Ding ◽  
Lihong Hu ◽  
Zorica Buser ◽  
Haoning Zhao ◽  
...  
Keyword(s):  
Cervical Vertebrae ◽  
Cervical Vertebra ◽  
Spinal Injuries ◽  
Therapeutic Effects ◽  
Esophageal Fistula ◽  
Open Drainage ◽  
Cervical Surgery ◽  
Gastric Tubes ◽  
Anterior Cervical Surgery ◽  
Postoperative Feeding

Object: To investigate the efficacy of debridement, open drainage, and early feeding to treat early esophageal fistula complicated with anterior cervical surgery. Methods: Retrospective analysis was conducted on data from 3154 patients who had undergone anterior cervical surgeries for cervical vertebra diseases between January 2006 and January 2013, in which eight patients had esophageal fistula with five males and three females. Four patients had cervical spinal injuries and four patients had cervical spondylosis. All of whom had postoperative esophageal fistulas and underwent debridement and drainage. The wounds were left open for natural drainage. No drainage devices were placed in surgical sites, and no gastric tubes were placed after surgeries. Such normal food as rice balls but not liquid or semiliquid diet was recommended. Local pressurization was conducted with fists during feeding to prevent food overflowing from orificium fistulae. Results: Healed esophageal fistulas were achieved in all of the patients after 1–2 weeks treatment. There weren’t recurrent esophageal fistulas and delayed infection found during 2–5 years follow-up. Good swallowing functions and stable cervical vertebrae were achieved in all of the patients. The satisfactory therapeutic effects were achieved in patients with previous neck diseases. Frankel classifications were increased by 1–2 grades in patients with cervical spinal injuries. JOA scores were increased from 9.5 before surgery to 15.5 after surgery in patients with cervical vertebra diseases. Conclusions: Early postoperative esophageal fistula complication after anterior cervical surgery can successfully be treated by debridement, drainage without gastric tube, and with early oral postoperative feeding but without fluids.

scholarly journals Analysis of 5 Rare Cases of Esophageal Fistula after Anterior Cervical Decompression, Bone Graft Fusion and Internal Fixation Surgeries

2020 ◽  
Author(s):  
Yu Huang ◽  
Jin Lin ◽  
Lihan Zhou ◽  
Jianhua Lin ◽  
Xuanwei Chen
Keyword(s):  
Cervical Spine ◽  
Mortality Rate ◽  
Pulmonary Infection ◽  
Internal Fixator ◽  
Esophageal Fistula ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery ◽  
Cervical Surgery ◽  
Treatment Measures ◽  
Anterior Cervical Surgery

Abstract Objective: To retrospectively analyze and discuss the characteristics of the pathogenesis, diagnosis and treatment of esophageal fistula after anterior cervical surgery. Methods: A retrospective analysis of the clinical data of 5 patients complicated with esophageal fistula after anterior cervical surgery in our hospital from January 2003 to December 2018 was performed. Results: Of the 5 patients, 3 died of severe pulmonary infection and sepsis after conservative treatment, and 2 patients healed after surgery performed for debridement and internal fixator removal. Conclusion: Esophageal fistula after anterior cervical spine surgery is a rare and serious complication with a high mortality rate. Surgical debridement and removal of the internal fixator accompanied by other active treatment measures can achieve good curative effects and significantly improve the outcomes of patients.

An unusual complication of Cloward's procedure presenting to the otolaryngologist

1998 ◽  
Vol 112 (11) ◽  
pp. 1087-1089 ◽  
Author(s):  
Salil B. Nair ◽  
Liam M. Flood ◽  
Fred Nath
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Conservative Management ◽  
Cervical Vertebrae ◽  
Csf Leak ◽  
Unusual Complication ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

AbstractWe present the case of a 51-year-old lady who developed a CSF leak following a Cloward's procedure (anterior cervical surgery with fusion), which settled with conservative management. Two months following the surgery she was assessed by an otolaryngologist for persistent dysphagia and a swelling in the anterior triangle of her neck. A computed tomography (CT) scan identified a fluid-filled mass displacing the trachea and communicating with the anterior cervical vertebrae, thus confirming th e persistence of a CSF leak.

scholarly journals Load Measurement of the Cervical Vertebra C7 and the Head of Passengers of a Car While Driving Across Uneven Terrain

Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3849
Author(s):  
Martin Svoboda ◽  
Milan Chalupa ◽  
Karel Jelen ◽  
František Lopot ◽  
Petr Kubový ◽  
...  
Keyword(s):  
Cervical Vertebrae ◽  
Vertical Direction ◽  
Cervical Vertebra ◽  
Parietal Bone ◽  
The Body ◽  
Human Organism ◽  
Dynamic Effects ◽  
The Road ◽  
Real Environment ◽  
On The Road

The article deals with the measurement of dynamic effects that are transmitted to the driver (passenger) when driving in a car over obstacles. The measurements were performed in a real environment on a defined track at different driving speeds and different distributions of obstacles on the road. The reaction of the human organism, respectively the load of the cervical vertebrae and the heads of the driver and passenger, was measured. Experimental measurements were performed for different variants of driving conditions on a 28-year-old and healthy man. The measurement’s main objective was to determine the acceleration values of the seats in the vehicle in the vertical movement of parts of the vehicle cabin and to determine the dynamic effects that are transmitted to the driver and passenger in a car when driving over obstacles. The measurements were performed in a real environment on a defined track at various driving speeds and diverse distributions of obstacles on the road. The acceleration values on the vehicle’s axles and the structure of the driver’s and front passenger’s seats, under the buttocks, at the top of the head (Vertex Parietal Bone) and the C7 cervical vertebra (Vertebra Cervicales), were measured. The result of the experiment was to determine the maximum magnitudes of acceleration in the vertical direction on the body of the driver and the passenger of the vehicle when passing a passenger vehicle over obstacles. The analysis of the experiment’s results is the basis for determining the future direction of the research.

scholarly journals Intraoperative O-arm Navigation Guided Anterior Cervical Surgery; A technical note and case series

2021 ◽  
pp. 101288
Author(s):  
Masato Tanaka ◽  
Hardik Suthar ◽  
Yoshihiro Fujiwara ◽  
Yoshiaki Oda ◽  
Koji Uotani ◽  
...  
Keyword(s):  
Case Series ◽  
Technical Note ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

254. Pain catastrophizing impacts outcome scores but not recovery kinetics after 1-2 level anterior cervical surgery

2021 ◽  
Vol 21 (9) ◽  
pp. S131
Author(s):  
Sohrab Virk ◽  
Avani S. Vaishnav ◽  
Hikari Urakawa ◽  
Jung Mok ◽  
Marcel Dupont ◽  
...  
Keyword(s):  
Pain Catastrophizing ◽  
Cervical Surgery ◽  
Outcome Scores ◽  
Anterior Cervical Surgery

Prolonged and severe dysphagia following anterior cervical surgery

2004 ◽  
Vol 11 (4) ◽  
pp. 424-427 ◽  
Author(s):  
Sunny King Shun Lee ◽  
Gabriel Yin Foo Lee ◽  
George Tse Hwai Wong
Keyword(s):  
Severe Dysphagia ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

scholarly journals Functional cervicothoracic boundary modified by anatomical shifts in the neck of giraffes

2016 ◽  
Vol 3 (2) ◽  
pp. 150604 ◽  
Author(s):  
Megu Gunji ◽  
Hideki Endo
Keyword(s):  
Cervical Vertebrae ◽  
Cervical Vertebra ◽  
Thoracic Vertebra ◽  
Large Displacement ◽  
Thoracic Vertebrae ◽  
The Novel ◽  
Neck Movement ◽  
Similar Shape ◽  
Seventh Cervical Vertebra ◽  
Longus Colli

Here we examined the kinematic function of the morpho- logically unique first thoracic vertebra in giraffes. The first thoracic vertebra of the giraffe displayed similar shape to the seventh cervical vertebra in general ruminants. The flexion experiment using giraffe carcasses demonstrated that the first thoracic vertebra exhibited a higher dorsoventral mobility than other thoracic vertebrae. Despite the presence of costovertebral joints, restriction in the intervertebral movement imposed by ribs is minimized around the first thoracic vertebra by subtle changes of the articular system between the vertebra and ribs. The attachment area of musculus longus colli , mainly responsible for ventral flexion of the neck, is partly shifted posteriorly in the giraffe so that the force generated by muscles is exerted on the cervical vertebrae and on the first thoracic vertebra. These anatomical modifications allow the first thoracic vertebra to adopt the kinematic function of a cervical vertebra in giraffes. The novel movable articulation in the thorax functions as a fulcrum of neck movement and results in a large displacement of reachable space in the cranial end of the neck. The unique first thoracic vertebra in giraffes provides higher flexibility to the neck and may provide advantages for high browsing and/or male competition behaviours specific to giraffes.

scholarly journals Anterior cervical spine surgical complications: Safety comparison between teacher and student

2021 ◽  
Vol 12 ◽  
pp. 43
Author(s):  
Edvin Zekaj ◽  
Guglielmo Iess ◽  
Domenico Servello
Keyword(s):  
Critical Factor ◽  
Anterior Cervical Discectomy ◽  
Cervical Disc ◽  
Cervical Disc Arthroplasty ◽  
Complication Rates ◽  
Years Of Experience ◽  
Cervical Discectomy ◽  
Phone Calls ◽  
Cervical Surgery ◽  
Anterior Cervical Surgery

Background: Anterior cervical surgery has a widespread use. Despite its popularity, this surgery can lead to serious and life-threatening complications, and warrants the attention of skilled attending spinal surgeons with many years of experience. Methods: We retrospectively evaluated postoperative complications occurring in 110 patients who underwent anterior cervical surgery (anterior cervical discectomy without fusion, anterior cervical discectomy and fusion, and anterior cervical disc arthroplasty) between 2013 and 2020. These operations were performed by an either an attending surgeon with 30 years’ experience versus a novice neurosurgeon (NN) with <5 years of training with the former surgeon. Complications were variously identified utilizing admission/discharge notes, surgical reports, follow-up visits, and phone calls. Complications for the two groups were compared for total and specific complication rates (using the Pearson’s Chi-square and Fisher’s test). Results: The total cumulative complication rate was 15.4% and was not significantly different between the two cohorts. The most frequent postoperative complication was dysphagia. Notably, there were no significant differences in total number of postoperative instances of dysphagia, dysphonia, unintended durotomy, hypoasthenia, and hypoesthesia; the only difference was the longer operative times for NNs. Conclusion: Surgeons’ years of experience proved not to be a critical factor in determining complication rates following anterior cervical surgery.

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