Segmental root palsy (SRP) after cervical decompression surgery.
- Author:
Li-Yong WU
1
;
Xiu-Xia ZHENG
;
Bin FENG
;
Chun WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Cervical Vertebrae; surgery; Decompression, Surgical; adverse effects; Female; Follow-Up Studies; Humans; Male; Middle Aged; Paralysis; diagnosis; etiology; physiopathology; prevention & control; Prognosis; Recovery of Function; Retrospective Studies; Spinal Nerve Roots; pathology; physiopathology
- From: China Journal of Orthopaedics and Traumatology 2010;23(4):294-296
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the occurrence, prevention and cure prognosis of segment root polsy (especially in C5 palsy) after cervical decompression surgery.
METHODSFrom February 2006 and December 2008,162 patients were operated with cervical decompression through approach for anterior or posterior in our hospital. Among them, 10 cases occurred SRP after operation included 6 males and 4 females aged from 40 to 68 with an average of 53 years old. These cases were treated with dehydration, trophic nerve, hyperbaric oxygenation. The clinical data were retrospective analzed.
RESULTSTen patients were followed up from 8 months to 3 years with an average of 2.4 years. It was observed that all the patients recovered during a period of 4.4 months on average (ranging from 3 weeks to 8 months).
CONCLUSIONSRP(especially in C5 palsy) is one of the common complications of anterior or posterior cervical decompression surgery. SRP is usually the result of various nosogenesis. As there was no effective treatment, conservative treatment is usually adopted with optimistic prognosis.