scholarly journals Airway Compromise Due to Wound Hematoma Following Anterior Cervical Spine Surgery

2012 ◽  
Vol 6 (1) ◽  
pp. 108-113 ◽  
Author(s):  
Mark A Palumbo ◽  
Jessica Pelow Aidlen ◽  
Alan H Daniels ◽  
Nikhil A Thakur ◽  
Joseph Caiati
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Relevant Literature ◽  
Treatment Protocol ◽  
Clinical Scenario ◽  
Airway Compromise ◽  
Upper Respiratory Tract ◽  
Serious Adverse Events ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

One of the most serious adverse events associated with anterior cervical spine surgery is wound hematoma resulting in airway compromise. The reported incidence of this postoperative complication has varied from 0.2% to 1.9%. Obstruction of the airway secondary to bleeding presents a challenging clinical scenario given the rapidity of onset, distorted anatomy of the upper respiratory tract, urgent need to act and potential for catastrophic consequences. This high-risk, life-threatening clinical scenario requires specialized knowledge and a well-designed treatment protocol to achieve a positive outcome. In this review, we report a case of airway compromise secondary to wound hematoma following anterior cervical discectomy and fusion, followed by a review of relevant literature, anatomy, etiologic factors and diagnostic considerations. We also propose guidelines for the prevention and management of postoperative airway obstruction due to wound hematoma.

scholarly journals Corticosteroid Administration to Prevent Complications of Anterior Cervical Spine Fusion: A Systematic Review

2017 ◽  
Vol 8 (3) ◽  
pp. 286-302 ◽  
Author(s):  
Shayan Abdollah Zadegan ◽  
Seyed Behnam Jazayeri ◽  
Aidin Abedi ◽  
Hirbod Nasiri Bonaki ◽  
Alexander R. Vaccaro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Risk Of Bias ◽  
Controlled Trials ◽  
Airway Compromise ◽  
Corticosteroid Administration ◽  
Cervical Spine Surgery ◽  
Randomized Controlled ◽  
Anterior Cervical Spine Surgery

Study Design: Systematic review. Objectives: Anterior cervical approach is associated with complications such as dysphagia and airway compromise. In this study, we aimed to systematically review the literature on the efficacy and safety of corticosteroid administration as a preventive measure of such complications in anterior cervical spine surgery with fusion. Methods: Following a systematic literature search of MEDLINE, Embase, and Cochrane databases in July 2016, all comparative human studies that evaluated the effect of steroids for prevention of complications in anterior cervical spine surgery with fusion were included, irrespective of number of levels and language. Risk of bias was assessed using MINORS (Methodological Index for Non-Randomized Studies) checklist and Cochrane Back and Neck group recommendations, for nonrandomized and randomized studies, respectively. Results: Our search yielded 556 articles, of which 9 studies (7 randomized controlled trials and 2 non–randomized controlled trials) were included in the final review. Dysphagia was the most commonly evaluated complication, and in most studies, its severity or incidence was significantly lower in the steroid group. Although prevertebral soft tissue swelling was less commonly assessed, the results were generally in favor of steroid use. The evidence for airway compromise and length of hospitalization was inconclusive. Steroid-related complications were rare, and in both studies that evaluated the fusion rate, it was comparable between steroid and control groups in long-term follow-up. Conclusions: Current literature supports the use of steroids for prevention of complications in anterior cervical spine surgery with fusion. However, evidence is limited by substantial risk of bias and small number of studies reporting key outcomes.

Airway compromise due to laryngopharyngeal edema after anterior cervical spine surgery

2013 ◽  
Vol 25 (1) ◽  
pp. 66-72 ◽  
Author(s):  
Mark A. Palumbo ◽  
Jessica Pelow Aidlen ◽  
Alan H. Daniels ◽  
Aaron Bianco ◽  
Joseph M. Caiati
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Airway Compromise ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

Delayed pharyngo-oesophageal perforation after anterior cervical spine surgery

2020 ◽  
Vol 66 (5) ◽  
pp. 414-416
Author(s):  
V. Poissonnet ◽  
V. Lubrano ◽  
A. Sadeler ◽  
E. Chabrillac
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Oesophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

Traction Diverticulum of the Hypopharynx following Anterior Cervical Spine Surgery

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

Clinical efficacy analysis of the new PRUNUS spine plate system for anterior cervical spine surgery

2020 ◽  
Author(s):  
Xiao-feng Zhao ◽  
Xiang-dong Lu ◽  
Yi-bo Zhao ◽  
De-tai Qi ◽  
Wen-xuan Wang ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Blood Loss ◽  
Internal Fixation ◽  
Cobb Angle ◽  
Clinical Efficacy ◽  
Spine Surgery ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery ◽  
Cervical Surgery ◽  
Plate System

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.

scholarly journals Anterior cervical spine surgery-associated complications in a retrospective case-control study

2017 ◽  
Vol 3 (3) ◽  
pp. 444-459 ◽  
Author(s):  
Anastasia Tasiou ◽  
Theofanis Giannis ◽  
Alexandros G. Brotis ◽  
Ioannis Siasios ◽  
Iordanis Georgiadis ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Case Control Study ◽  
Case Control ◽  
Retrospective Case ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery ◽  
Control Study
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