COMPLICATIONS OF ANTERIOR APPROACH TO THE CERVICAL SPINE

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COMPLICATIONS OF ANTERIOR APPROACH TO THE CERVICAL SPINE

Journal Title: Journal of Turkish Spinal Surgery - Year 1996, Vol 7, Issue 4

Abstract

Since 1984, 12 cases has been seen as a complication of anterİor approach to the cervicai spine İn 267 con-secutive paiienîs were reviewed. The re were 134 (50.2%) men and 133 (49.8%) women; their ages ranges from 17 to 73 years. Theİrpathologies were herniated disc, trauma and tumor. Among these 267 patients, 178 (66.6%) modified Cioward technique, 58 (21.7%) Cioward technique and 31 (11.7%) vertebrectomy were performed. Över-ali complication rate was 4.49 percent. Most common compiications were bone graft süppage (2.24%) or fracture (0.75%) v/hich couidbe easİİy diagnosed by plain x-ray. Overaii İnfection rate was 1.49 percent. Wound infection of donor site was seen in 2 patients (0.75%), bony infection of the primary operative site in one (0.37%) and retro-pharyngeal abscess in one (0.37%). One patient (0.37%) hadpostoperative transient Horner's syndrome resolving within three days. Eight patients (2.99%) underwent reoperation in the eariy or late postoperative period for graft siippage and graft fracture. The results of reoperations were successful.

Authors and Affiliations

Ünal KİRİŞOĞLU, Serhat ERBAYRAKTAR, Saffet ERK, Zafer YÜKSEL, Engin UÇAR, Metin GÜNER

Keywords

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EP ID EP676355
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