Anterior cervical discectomy and fusion requiring resection of the superior horn of thyroid cartilage: case report

2020 ◽  
Vol 32 (4) ◽  
pp. 559-561
Author(s):  
Kyle P. O’Connor ◽  
Adam D. Smitherman ◽  
Ali H. Palejwala ◽  
Greg A. Krempl ◽  
Michael D. Martin
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Surgical Approach ◽  
Thyroid Cartilage ◽  
Upper Extremities ◽  
Anterior Cervical Discectomy ◽  
Degenerative Diseases ◽  
Cervical Stenosis ◽  
Cervical Discectomy ◽  
Course Of Action

Anterior cervical discectomy and fusion (ACDF) is the most common surgical procedure utilized for degenerative diseases of the cervical spine. The authors present the case of a 64-year-old man who underwent an ACDF for degenerative changes causing cervical stenosis with myelopathy. The patient’s symptoms consisted of pain and weakness of the bilateral upper extremities that slowly progressed over 1.5 years. During the procedure, the superior horn of the thyroid cartilage impeded proper retraction, preventing adequate visualization due to its prominent size. At this point, otorhinolaryngology was consulted, which allowed for safe resection of this portion of the thyroid cartilage while preserving nearby critical structures. With the frequent usage of this surgical approach for various etiologies, the importance of proper recognition and consultation is paramount. Encountering prominent thyroid cartilage resulting in surgical obstruction has not been described in the literature and this report represents a paradigm for the proper course of action.

Hemothorax as a Complication after Anterior Cervical Discectomy: Case Report

Neurosurgery ◽  
2005 ◽  
Vol 56 (4) ◽  
pp. E871-E871 ◽  
Author(s):  
B Sanjay Harhangi ◽  
Tomas Menovsky ◽  
Hans A.L. Wurzer
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Cervical Spine ◽  
Respiratory Failure ◽  
Surgical Procedures ◽  
English Language ◽  
Clinical Presentation ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Language Literature

Abstract OBJECTIVE AND IMPORTANCE: Anterior cervical discectomy is one of the most frequently performed surgical procedures of the cervical spine. CLINICAL PRESENTATION: We describe a patient with a postoperative hemothorax as a complication after an anterior cervical discectomy. INTERVENTION: The patient was intubated, and reoperation and bronchoscopy were performed. CONCLUSION: To the best of our knowledge, such a complication has not been described before in the English-language literature. We conclude that hemothorax is a rare, although serious, complication after anterior cervical discectomy and should be included in the differential diagnosis for patients with respiratory failure after an anterior cervical discectomy.

scholarly journals TOTAL ARTHROPLASTY AND ANTERIOR CERVICAL DISCECTOMY WITH FIXATION: LONG-TERM RESULTS OF A RANDOMIZED CLINICAL TRIAL

2019 ◽  
Vol 16 (1) ◽  
pp. 48-56
Author(s):  
V. A. Byvaltsev ◽  
I. A. Stepanov ◽  
A. A. Kalinin ◽  
M. A. Aliyev ◽  
B. M. Aglakov ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Intervertebral Discs ◽  
Anterior Cervical Discectomy ◽  
Long Term Results ◽  
Degenerative Diseases ◽  
Disc Arthroplasty ◽  
Cervical Discectomy ◽  
Adjacent Segments

Objective.To perform comparative analysis of the long-term results of using the methods of total cervical disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF) in the surgical treatment of patients with single-level degenerative diseases of cervical intervertebral discs.Material and Methods.The study included 186 patients aged 21–60 years. Independent sequential randomization (1:1) of 173 patients was performed using software. The following parameters were used to evaluate patients: the VAS score of pain syndrome severity in the cervical spine and upper extremities, the Neck Disability Index (NDI) score of the quality of life, the amplitude of movements of the operated segment, the frequency of adjacent discs degeneration and of repeated surgical interventions and adverse events.Results.In the long-term follow-up, the best clinical outcomes according to VAS and NDI data were recorded in patients from the CDA group. Their amplitude of movements in the segment remained in the physiological volume. In the ACDF group, a complete fusion was verified in 83 (93.3 %) cases. A significantly higher degree of degenerative disease of superjacent intervertebral discs was revealed in ACDF group (p < 0.01), while no significant degenerative changes were recorded in the subjacent discs (p > 0.05). The number of intraoperative and early postoperative complications did not have a statistically significant intergroup difference (p > 0.05). Symptomatic degeneration of adjacent segments was verified in 2 (2.4 %) respondents from the CDA group and in 8 (9.0 %) from the ACDF group (p < 0.001). Symptomatic adverse effects were found in 3 (3.6 %) CDA patients in the form of heterotopic ossification and in 6 (6.7 %) ACDF patients in the form of pseudoarthrosis.Conclusions.The operations of total disc arthroplasty (CDA) and anterior cervical discectomy and fusion (ACDF) are safe and effective methods of surgical treatment of patients with single-level degenerative diseases of cervical intervertebral discs. In CDA patients, significantly better clinical results were noted, as compared with the ACDF group. The CDA method allowed preserving the normal biomechanics of the cervical spine and preventing the development of degenerative disease of adjacent segments.

scholarly journals Late deep cervical infection after anterior cervical discectomy and fusion: a case report and literature review

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ying-Chun Chen ◽  
Lin Zhang ◽  
Er-Nan Li ◽  
Li-Xiang Ding ◽  
Gen-Ai Zhang ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Esophageal Perforation ◽  
Radical Neck Dissection ◽  
Titanium Implant ◽  
Anterior Cervical Discectomy ◽  
Antibiotic Administration ◽  
Cervical Discectomy ◽  
Cervical Infection ◽  
Unstable Cervical Spine ◽  
Degenerative Cervical Spine

Abstract Background Anterior cervical discectomy and fusion (ACDF) is often performed for the treatment of degenerative cervical spine. While this procedure is highly successful, 0.1–1.6% of early and late postoperative infection have been reported although the rate of late infection is very low. Case presentation Here, we report a case of 59-year-old male patient who developed deep cervical abscess 30 days after anterior cervical discectomy and titanium cage bone graft fusion (autologous bone) at C3/4 and C4/5. The patient did not have esophageal perforation. The abscess was managed through radical neck dissection approach with repated washing and removal of the titanium implant. Staphylococcus aureus was positively cultured from the abscess drainage, for which appropriate antibiotics including cefoxitin, vancomycin, levofloxacin, and cefoperazone were administered postoperatively. In addition, an external Hallo frame was used to support unstable cervical spine. The patient’s deep cervical infection was healed 3 months after debridement and antibiotic administration. His cervial spine was stablized 11 months after the surgery with support of external Hallo Frame. Conclusions This case suggested that deep cervical infection should be considered if a patient had history of ACDF even in the absence of esophageal perforation.

3-Tesla Kinematic MRI of the Cervical Spine for Evaluation of Adjacent Level Disease After Monosegmental Anterior Cervical Discectomy and Arthroplasty

Spine ◽  
2017 ◽  
Vol 42 (4) ◽  
pp. 224-231
Author(s):  
Steffen K. Fleck ◽  
Soenke Langner ◽  
Christian Rosenstengel ◽  
Rebecca Kessler ◽  
Marc Matthes ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Anterior Cervical Discectomy ◽  
3 Tesla ◽  
Adjacent Level ◽  
Cervical Discectomy
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