Early complications of cervical spine surgery in 96 patients
10.3760/cma.j.issn.1008-6706.2014.14.022
- VernacularTitle:颈椎手术96例早期并发症分析
- Author:
Jianjun CHU
;
Tao WANG
;
Shaobao PEI
;
Jian LI
;
Dingbin LI
;
Zhibing WANG
- Publication Type:Journal Article
- Keywords:
Cervical spine;
Surgery;
Complications
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(14):2132-2134
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the early complications of cervical spine surgery .Methods We retro-spectively analyzed 96 cervical spine surgery patients in our department ,including 56 cervical spondylotic myelopathy , 21 cervical fracture and/or dislocation ,11 cervical spine tumor ,5 atlantoaxial dislocation ,3 Chiari malformation .By analyzing causes of complications ,the countermeasures were developed .Results 27 patients had complications .The major complications were:death in 1 case,incision hematoma in 2 cases,incision infection in 4 cases,spine cord inju-ry or nerve root injury in 3 cases,cerebrospinal fluid leakage in 3 cases,superior laryngeal nerve and recurrent laryn-geal nerve injury in 4 cases,pulmonary infection in 5 cases,urinary tract infection in 4 cases.There were no esophage-al fistula and vertebral artery injury in these patients .The incidence rate in anterior ,posterior,anterior combined with posterior surgery was 24.6%(14/57),36.8%(7/19),40.0%(6/15) respectively.Conclusion Cervical spine surgery is likely to get early complications .Adequate preoperative preparation and improving operative techniques , timely and correctly handle the complications could reduce complications and improve cure rate .
