The study of the C5 nerve root palsy after surgery of cervical spondylosis.
- Author:
Gao HE
1
;
Jian-xiang ZHANG
;
Cai-liang SHEN
;
Qing-guo YANG
;
Shu JIANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Bone Transplantation; adverse effects; Cervical Vertebrae; surgery; Decompression, Surgical; adverse effects; Female; Humans; Laminectomy; adverse effects; Male; Middle Aged; Postoperative Complications; diagnosis; etiology; prevention & control; Radiculopathy; diagnosis; etiology; prevention & control; Retrospective Studies; Spinal Nerve Roots; Spinal Osteophytosis; surgery
- From: Chinese Journal of Surgery 2005;43(12):781-783
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the clinical features, treatment and prognosis of the C5 palsy after surgery of cervical spondylosis.
METHODSTwo hundred and twenty-three cases treated from March 1994 to October 2003 were retrospectively reviewed.
RESULTSSeven of the 223 cases developed the complication of C5 palsy, manifesting the paresis of the deltoid muscle as well as the sensory deficits and (or) intractable pain in shoulder. The incidence was 3.1%. In this study, 2 cases occurred in the anterior subcorpectomy, 5 cases developed in the laminoplasty with 1 case on the opened side, 3 cases on the hinged side and 1 case on both sides. All the 7 cases with the C5 palsy recovered within 2 weeks to 6 months.
CONCLUSIONThe C5 palsy can develop either anterior decompression or posterior open-door laminoplasty of cervical spondylosis. Generally speaking, patients with postoperative C5 palsy can be cured by conservative measures. And prognosis is good.