Early complications of anterior cervical discectomy and fusion: A case series

Hasan, Ghazwan A; Raheem, Hayder Qatran; Al-Naser, Luay M; Sheta, Reda Ali

doi:10.4103/jmsr.jmsr_18_18

Cited by 8 publications

(16 citation statements)

References 1 publication

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“…Regarding late complication, we had one case (0.6%) of implant extrusion after 1 year, in previ-ously published series with the development of implant, the rate of implant extrusion is ranging between 0% and 0.8%, and in most cases, it occurred in the first 30 days [36] . Good preparation of endplates to enhance fusion rate, a selection of the suitable size of the cage with good impaction and filling by enough amount of bone and also a selection of patients as non-osteoporotic, none renal failure and young age are generally preferred to prevent this complication.…”

Section: Discussionmentioning

confidence: 90%

Complications of Anterior Cervical Discectomy with Interbody Fusion or Arthroplasty

Hassan¹,

Sheta

2021

The Medical Journal of Cairo University

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Background: Anterior cervical discectomy with fusion or arthroplasty is a common procedure and has been associated with satisfactory outcomes. However, the incidence of complications, although uncommon, needs to be taken into consideration. Aim of Study:Our aim is to raise awareness on anterior cervical disc procedures associated complications, their prophylactic measures proper management.Patients and Methods: Our prospective study conducted on 156 patients; 99 males (63.5%) and 57 females (36.5%); their age range was 26 to 65 years (mean, 45.2; SD, 12.5). The study started from January 2014 to December 2019. The follow-up was for at least 1 year, and we evaluated the clinical and radiographic signs of complications.Results: Thirteen patients (8.3%) had transient dysphagia and three patients (1.9%) had adjacent segment syndrome. two patients (1.3%) each had a post-operative hematoma and a dural tear, and two of fusion (1.4%) cases had pseudoarthrosis. One patient (0.6%) each had an esophageal injury, Recurrent laryngeal nerve palsy, post-operative weakness, Horner syndrome, wound infection, and slippage of artificial disc prosthesis. Conclusion:Punctilious knowledge and early recognition of the anterior cervical disc surgery-segment syndrome, hematoma, and pseudoarthrosis were the most common complications in our study, and their incidence relatively increases in multiple level cases associated with comorbidity. Appropriate management was done in the most majority of our cases with good functional outcomes.

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Section: Discussionmentioning

confidence: 90%

Complications of Anterior Cervical Discectomy with Interbody Fusion or Arthroplasty

Hassan¹,

Sheta

2021

The Medical Journal of Cairo University

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“…The right sided corridor is being more accessible for right handed surgeons, while the left sided corridor theoretically decreases the risk of injury to the recurrent laryngeal nerve. 9,12,19 The reported resolution rate of HS after ACDF in the literature, ranges between 80%-100%. 1,9,13,14,18,[31][32][33][34] In the current study, HS occurred immediately postoperative, and through 1 year 10% of patients had complete recovery, 80% had partial recovery of the ptosis while 10% had no improvement.…”

Section: Discussionmentioning

confidence: 99%

“…[5][6][7] Other less common complications including incidental dural tears, thoracic duct injury, and Horner's syndrome (HS) were observed. 8,9 Horner's syndrome is described by partial ptosis, pupillary miosis, and facial anhidrosis due to sympathetic fibers injury or traction along the medial aspect of longus colli muscle fibers, which can be violated during the surgical approach. [10][11][12] Horner's syndrome causes functional loss as well cosmetic impairments causing unsatisfactory outcome to patients.…”

Section: Introductionmentioning

confidence: 99%

Horner’s Syndrome after single or two anterior cervical discectomy and fusion; clinical series

Ashour

Abdelmohsen²,

Saleh³

2022

Pan Arab Journal of Neurosurgery

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BACKGROUND: Horner's syndrome (HS) is a rare postoperative complication after anterior cervical discectomy and fusion (ACDF). OBJECTIVE:This study aims to assess the incidence, patient's demography and surgical approach, outcomes and possible predictive factors for the occurrence of Horner's syndrome following the anterior approach for cervical discectomy. METHODS:A retrospective study of 820 patients who had single or successive two levels ACDF for cervical degenerative disc disease using PolyEtherEtherKetone (PEEK) cages between 2016 and 2019 was conducted. Charts were reviewed to identify patients with postoperative occurrence of Horner's syndrome with a follow up period of 12 months. Outcome for ptosis, being the most important factor, was classified according to margin to reflex distance. RESULTS:Forty patients had postoperative HS following ACDF out of 820 patients (4.8%). Around 67% of the patients with HS had single level discectomy, and the most frequent level was C5-6. The average age of patients with HS was 47 years, 55% were males, 33% were smokers and 20% were diabetics. Radiculopathy was more frequent than myelopathy. When anterior plate fixation system was used the incidence of Horner's syndrome was higher (60%). Improvement or complete resolution occurred in 90% of the cases.CONCLUSION: Using anterior plating system during ACDF increases the risk of Horner's syndrome. In most of the cases, Horner's syndrome is a temporary clinical manifestation that is managed conservatively. Rarely, surgical repair for ptosis might be required.

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“…Many studies found that smoking is associated with and increased the risk of dysphagia following ACDF, due to its detrimental effect on soft tissue, as well as poor surgical outcomes after ACSS [5,32].…”

Section: Smokingmentioning

confidence: 99%

“…Anterior cervical spine surgery is safe and effective harboring a wide range of indications with a low rate of morbidity and mortality [4]. Complications following anterior cervical spine surgery include airway complications, dysphagia, dysphonia, infection, implant failure, non-union, neurological deficit, vascular injuries, implant subsidence, adjacent level disease and even death [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Dysphagia Following Anterior Cervical Spine Surgery

Hasan¹,

Alves²

2022

Dysphagia - New Advances

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Dysphasia is regarded as one of the common complications following anterior cervical discectomy and fusion, the reported incidence varies widely and is depending on several factors, such as smoking, multi levels, anterior plating, we will discuss historical review, pathogenesis, epidemiology, clinical presentation including presentation including perioperative and postoperative recommendation and will end up with different stops and tricks to decrease this complication, in each topics we will review the evidence based articles.

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Early complications of anterior cervical discectomy and fusion: A case series

Cited by 8 publications

References 1 publication

Complications of Anterior Cervical Discectomy with Interbody Fusion or Arthroplasty

Complications of Anterior Cervical Discectomy with Interbody Fusion or Arthroplasty

Horner’s Syndrome after single or two anterior cervical discectomy and fusion; clinical series

Dysphagia Following Anterior Cervical Spine Surgery

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