'Ondineʼs curse'. A complication of upper cervical-spine surgery

1975 ◽  
Vol 57 (7) ◽  
pp. 1000-1001 ◽  
Author(s):  
JW Fielding ◽  
A Tuul ◽  
RJ Hawkins
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Upper Cervical Spine ◽  
Cervical Spine Surgery ◽  
Upper Cervical

scholarly journals Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Masahiro Morita ◽  
Masuhiro Nobuta ◽  
Hirotsune Naruse ◽  
Hiroaki Nakamura
Keyword(s):  
Radiation Therapy ◽  
Cervical Spine ◽  
Airway Obstruction ◽  
Spine Surgery ◽  
Metastatic Tumor ◽  
Upper Cervical Spine ◽  
Occipitocervical Fusion ◽  
Cervical Spine Surgery ◽  
Emergency Tracheostomy ◽  
Upper Cervical

The purpose of this paper was to inform the reader that prolonged upper airway obstruction after posterior cervical spine surgery is a possible complication for patients with metastatic tumor of upper cervical spine. A 49-year-old man presented severe neck pain during posture changes due to metastatic spinal tumor of C2. Occipitocervical fusion following removal of the posterior arch of C1 and laminectomy of C2 via the single posterior approach was performed 2 weeks after radiation therapy. After the surgery, life-threatening airway obstruction due to pharyngeal oedema occurred immediately after extubation that required emergency tracheostomy. The airway obstruction did not improve well during the patient's postoperative course. Once pharyngeal oedema occurs in patients with metastatic tumor of upper cervical spine who undergo posterior cervical spine surgery following radiation therapy to the neck, the pharyngeal oedema may be constant for a long period of time.

scholarly journals Feasibility of CT-based intraoperative 3D stereotactic image-guided navigation in the upper cervical spine of children 10 years of age or younger: initial experience

2015 ◽  
Vol 16 (5) ◽  
pp. 590-598 ◽  
Author(s):  
Timothy J. Kovanda ◽  
Shaheryar F. Ansari ◽  
Rabia Qaiser ◽  
Daniel H. Fulkerson
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Pediatric Patients ◽  
Pedicle Screws ◽  
Upper Cervical Spine ◽  
Initial Experience ◽  
Cervical Spine Surgery ◽  
Image Guided ◽  
Surgical Tool ◽  
Upper Cervical

OBJECT Rigid screw fixation may be technically difficult in the upper cervical spine of young children. Intraoperative stereotactic navigation may potentially assist a surgeon in precise placement of screws in anatomically challenging locations. Navigation may also assist in defining abnormal anatomy. The object of this study was to evaluate the authors’ initial experience with the feasibility and accuracy of this technique, both for resection and for screw placement in the upper cervical spine in younger children. METHODS Eight consecutive pediatric patients 10 years of age or younger underwent upper cervical spine surgery aided by image-guided navigation. The demographic, surgical, and clinical data were recorded. Screw position was evaluated with either an intraoperative or immediately postoperative CT scan. RESULTS One patient underwent navigation purely for guidance of bony resection. A total of 14 navigated screws were placed in the other 7 patients, including 5 C-2 pedicle screws. All 14 screws were properly positioned, defined as the screw completely contained within the cortical bone in the expected trajectory. There were no immediate complications associated with navigation. CONCLUSIONS Image-guided navigation is feasible within the pediatric cervical spine and may be a useful surgical tool for placing screws in a patient with small, often difficult bony anatomy. The authors describe their experience with their first 8 pediatric patients who underwent navigation in cervical spine surgery. The authors highlight differences in technique compared with similar navigation in adults.

Motor Evoked Potential Monitoring during Upper Cervical Spine Surgery

Spine ◽  
1989 ◽  
Vol 14 (10) ◽  
pp. 1078-1083 ◽  
Author(s):  
HIDEKI KITAGAWA ◽  
TATSUO ITOH ◽  
HARUO TAKANO ◽  
KAZUHIKO TAKAKUWA ◽  
NAOYA YAMAMOTO ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Evoked Potential ◽  
Motor Evoked Potential ◽  
Upper Cervical Spine ◽  
Cervical Spine Surgery ◽  
Upper Cervical ◽  
Evoked Potential Monitoring ◽  
Potential Monitoring

scholarly journals Robot-assisted screw fixation in upper cervical spine using TiRobot system: an accurate and reliable procedure

10.29007/7j81 ◽  
2018 ◽  
Author(s):  
Qiang Yuan ◽  
Jingye Wu ◽  
Yajun Liu ◽  
Yonggang Xing ◽  
Yong Zhang ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Screw Fixation ◽  
Three Dimensional ◽  
Upper Cervical Spine ◽  
Robot Arm ◽  
Average Deviation ◽  
Cervical Spine Surgery ◽  
Upper Cervical ◽  
Reliable Procedure ◽  
Underlying Diseases

Screw fixation in upper cervical spine surgery is one of the most challenging spinal procedures. For that reason, the free-hand techniques are not a reliable procedure in upper cervical spine. Wei Tian reported the first posterior C1-2 transarticular screw fixation which was assisted by robotic systems using TiRobot system in 2016. Our study was aimed to assess the accuracy and reliability of screw fixation in upper cervical spine prospectively.All the patients undergoing screw fixation assisted by robotic system (TiRobot) in upper cervical spine were prospectively studied from August 2015 to January 2018 in Beijing Jishuitan hospital. During surgeries, intraoperatively obtained images by C-arm were transferred into the TiRobot system and three-dimensional images were created. Surgeons' plannings of the screw trajectories were performed in TiRobot system. Afterwards, the robot arm with a guidance tube on its end was automatically moved to the entry point of each trajectory and held still. Guiding pins were inserted and followed by cannulated or conventional screws placements. A fluoroscopic re-scan by C-arm was performed, and the merging of two sets of images demonstrated the deviations between the planned and real trajectories. The deviations were analyzed and any intraoperative difficulties or errors were recorded. Postoperatively, any screw perforations were reviewed and recorded on CT scan images.Twenty-six patients (13 males/13 females) were included in this study. The average age was forty-nine. The underlying diseases of these patients covered dens fractures, Hangman's fractures, congenial and acquired deformities. 64 screws were placed assisted by TiRobot system. The average deviation between the planned and real trajectories was 0.9 mm. No screw perforations were detected on postoperative CT scans.Cervical spine, particularly the upper cervical spine has small size bony structures, higher accuracy requirements are significantly important. The results of our study showed only 0.9 mm deviations between planned and real trajectories occurred. This level of accuracy allowed safe and accurate placement of screws in upper cervical spine and no screw perforations were observed. For that reasons, screw fixation in upper cervical spine is an accurate and reliable procedure using TiRobot system.

Endonasal Surgery of the Upper Cervical Spine: A Morphometric Analysis

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Harminder Singh ◽  
Bartosz Grobelny ◽  
Adam Flanders ◽  
Marc Rosen ◽  
Paul Schiffmacher ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Morphometric Analysis ◽  
Upper Cervical Spine ◽  
Endonasal Surgery ◽  
Upper Cervical

Application of Smith-Robinson approach for C2/3 cervical spine surgery

2013 ◽  
Vol 32 (11) ◽  
pp. 1199-1202
Author(s):  
Ying ZHANG ◽  
Jun MA ◽  
Yuan-yuan CHEN ◽  
Xin-wei WANG ◽  
De-yu CHEN ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Cervical Spine Surgery

scholarly journals Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament

2021 ◽  
Vol 10 (15) ◽  
pp. 3375
Author(s):  
Atsushi Kimura ◽  
Katsushi Takeshita ◽  
Toshitaka Yoshii ◽  
Satoru Egawa ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cervical Spine ◽  
Postoperative Complications ◽  
Spine Surgery ◽  
Posterior Longitudinal Ligament ◽  
Lower Extremity Function ◽  
Cervical Spine Surgery ◽  
The Impact

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.

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