Citations 2
C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases
Thompson, Sara E., Smith, Zachary A. , Hsu, Wellington K. , Mroz, Thomas E., Fish, David E., Wang, Jeffrey C. , Fehlings, Michael G. , Tannoury, Chadi , Tannoury, Tony , Tortolani, P. Justin, Traynelis, Vincent C. , Gokaslan, Ziya L. , Hilibrand, Alan S. , Isaacs, Robert E., Mummaneni, Praveen V. , Chou, Dean , Qureshi, Sheeraz A. , Cho, Samuel K. , Baird, Evan O., Sasso, Rick C., Buser, Zorica , Bydon, Mohamad , Giacomo, Anthony F. De, Derakhshan, Adeeb , Jobse, Bruce C., Lord, Elizabeth L. , Massicotte, Eric M. , Steinmetz, Michael P. , Smith, Gabriel A. , Pace, Jonathan , Corriveau, Mark, Lee, Sung‐Ho , Cha, Peter I., Chatterjee, Dhananjay, Gee, Erica L., Mayer, Erik N. , McBride, Owen J., Roe, Allison K. , Yanez, Marisa Y., Stroh, D. Alex, Than, Khoi D. , Nassr, Ahmad , Mroz, Thomas E. , Arnold, Paul M. , Clarke, Michelle J. , Lubelski, Daniel , Cha, Peter I., Riew, Kiehyun Daniel , Fehlings, Michael G , Tannoury, Chadi
Global Spine Journal | April 19, 2017 | Volume: 7 | Issue: 1_suppl | Pages: 64S-70S
Study Design: A multicenter, retrospective review of C5 palsy after cervical spine surgery. Objective: Postoperative C5 palsy is a known complication of cervical decompressive spinal surgery. The goal of this study was to review the incidence, patient characteristics, and outcome of C5 palsy in patients undergoing cervical spine surgery. Methods: We conducted a multicenter, retrospective review of 13 946 patients across 21 centers who received cervical spine surgery (levels C2 to C7) between January 1, 2005, and December 31, 2011, inclusive. P values were calculated using 2-sample t test for continuous variables and χ 2 tests or Fisher exact tests for categorical variables. Results: Of the 13 946 cases reviewed, 59 patients experienced a postoperative C5 palsy. The incidence rate across the 21 sites ranged from 0% to 2.5%. At most recent follow-up, 32 patients reported complete resolution of symptoms (54.2%), 15 had symptoms resolve with residual effects (25.4%), 10 patients did not recover (17.0%), and 2 were lost to follow-up (3.4%). Conclusion: C5 palsy occurred in all surgical approaches and across a variety of diagnoses. The majority of patients had full recovery or recovery with residual effects. This study represents the largest series of North American patients reviewed to date.
Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature
Hershman, Stuart H. , Kunkle, William Aaron , Kelly, Michael P. , Ray, Wilson Z. , Bumpass, David B. , Peters, Colleen , Smith, Zachary A. , Hsu, Wellington K. , Currier, Bradford L. , Rahman, RaʼKerry K., Isaacs, Robert E., Smith, Justin S. , Shaffrey, Christopher I. , Thompson, Sara E., Wang, Jeffrey C. , Lord, Elizabeth L. , Buser, Zorica , Fehlings, Michael G. , Mroz, Thomas E., Buchowski, Jacob M. , Gum, Jeffrey L. , Singhatanadgige, Weerasak , Kim, Jin Young , Nassr, Ahmad , Arnold, Paul M. , Mroz, Thomas E. , Riew, Kiehyun Daniel , Fehlings, Michael G , Kelly, Michael P
Global Spine Journal | April 19, 2017 | Volume: 7 | Issue: 1_suppl | Pages: 28S-36S
Study Design: Multicenter retrospective case series and review of the literature. Objective: To determine the rate of esophageal perforations following anterior cervical spine surgery. Methods: As part of an AOSpine series on rare complications, a retrospective cohort study was conducted among 21 high-volume surgical centers to identify esophageal perforations following anterior cervical spine surgery. Staff at each center abstracted data from patients’ charts and created case report forms for each event identified. Case report forms were then sent to the AOSpine North America Clinical Research Network Methodological Core for data processing and analysis. Results: The records of 9591 patients who underwent anterior cervical spine surgery were reviewed. Two (0.02%) were found to have esophageal perforations following anterior cervical spine surgery. Both cases were detected and treated in the acute postoperative period. One patient was successfully treated with primary repair and debridement. One patient underwent multiple debridement attempts and expired. Conclusions: Esophageal perforation following anterior cervical spine surgery is a relatively rare occurrence. Prompt recognition and treatment of these injuries is critical to minimizing morbidity and mortality.