Adverse events associated with anterior cervical spine surgery

Alan H. Daniels, K. Daniel Riew, Jung Yoo, Alexander Ching, Keith R. Birchard, Andy J. Kranenburg, Robert Hart

Research output: Contribution to journalArticle

108 Citations (Scopus)

Abstract

Anterior cervical procedures for neurologic decompression and fusion, including cervical diskectomy and cervical corpectomy, are commonly performed by orthopaedic surgeons and spinal neurosurgeons. These procedures are highly successful in treating most patients with persistent pain and neurologic symptoms that have not responded to nonsurgical methods. Adverse events occur infrequently, but several have been described, including esophageal injury, vertebral artery injury, dural tear, postoperative airway compromise, spinal cord injury, hematoma, dysphagia, dysphonia, and graft dislodgement. Newer procedures, such as cervical total disk replacement and the use of bone morphogenetic protein as a supplement to fusion, have raised unique concerns. Appropriate strategies must be utilized to avoid these adverse events, and the treating surgeon should have an understanding of how to detect and manage such events when they do arise.

Original languageEnglish (US)
Pages (from-to)729-738
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume16
Issue number12
StatePublished - Dec 2008

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Spine
Total Disc Replacement
Dysphonia
Diskectomy
Bone Morphogenetic Proteins
Vertebral Artery
Wounds and Injuries
Deglutition Disorders
Neurologic Manifestations
Decompression
Tears
Spinal Cord Injuries
Hematoma
Nervous System
Transplants
Pain

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Daniels, A. H., Riew, K. D., Yoo, J., Ching, A., Birchard, K. R., Kranenburg, A. J., & Hart, R. (2008). Adverse events associated with anterior cervical spine surgery. Journal of the American Academy of Orthopaedic Surgeons, 16(12), 729-738.

Adverse events associated with anterior cervical spine surgery. / Daniels, Alan H.; Riew, K. Daniel; Yoo, Jung; Ching, Alexander; Birchard, Keith R.; Kranenburg, Andy J.; Hart, Robert.

In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 16, No. 12, 12.2008, p. 729-738.

Research output: Contribution to journalArticle

Daniels, AH, Riew, KD, Yoo, J, Ching, A, Birchard, KR, Kranenburg, AJ & Hart, R 2008, 'Adverse events associated with anterior cervical spine surgery', Journal of the American Academy of Orthopaedic Surgeons, vol. 16, no. 12, pp. 729-738.
Daniels AH, Riew KD, Yoo J, Ching A, Birchard KR, Kranenburg AJ et al. Adverse events associated with anterior cervical spine surgery. Journal of the American Academy of Orthopaedic Surgeons. 2008 Dec;16(12):729-738.
Daniels, Alan H. ; Riew, K. Daniel ; Yoo, Jung ; Ching, Alexander ; Birchard, Keith R. ; Kranenburg, Andy J. ; Hart, Robert. / Adverse events associated with anterior cervical spine surgery. In: Journal of the American Academy of Orthopaedic Surgeons. 2008 ; Vol. 16, No. 12. pp. 729-738.
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