Perioperative complications of combined anterior and posterior cervical decompression and fusion crossing the cervico-thoracic junction.

Robert Hart, Robert L. Tatsumi, Jayme Hiratzka, Jung Yoo

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

STUDY DESIGN: Retrospective review. OBJECTIVE: To determine the perioperative complications for patients undergoing single stage, multilevel, anterior, and posterior cervical fusions crossing the cervico-thoracic junction. SUMMARY OF BACKGROUND DATA: Cervical spinal stenosis with kyphosis involving 3 or more disc levels is often treated via combined anterior decompression and posterior instrumented fusion. When long cervical fusions end at C7, many surgeons extend the posterior fusion across the cervico-thoracic junction to reduce the potential for adjacent segment breakdown. Perioperative complications associated with these procedures have not previously been described. METHODS: A retrospective review of perioperative complications occurring in patients undergoing combined anterior decompression and posterior instrumented arthrodesis crossing the cervico-thoracic junction. The effect of operative time, blood loss, and fluid replacement on the need for extended intubation was tested with a Fisher exact test. RESULTS: Thirteen patients fit the inclusion criteria. Nine patients experienced at least 1 complication (69%, 9/13) during the perioperative period, comprising 16 minor and 5 major complications. The most common complications were dysphagia (46%, 6/19) and airway edema requiring extended intubation (38%, 5/13). CONCLUSION: Complications are frequent following these procedures, although the majority were minor and resolved without lasting effect. Airway edema requiring prolonged intubation or reintubation was frequent. With the numbers available, we were unable to show a relationship between the need for extended intubation and variables including operative time, blood loss, or volume of fluid replacement.

Original languageEnglish (US)
Pages (from-to)2887-2891
Number of pages5
JournalSpine
Volume33
Issue number26
StatePublished - Dec 15 2008

Fingerprint

Decompression
Intubation
Thorax
Operative Time
Edema
Spinal Stenosis
Kyphosis
Perioperative Period
Arthrodesis
Deglutition Disorders

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Perioperative complications of combined anterior and posterior cervical decompression and fusion crossing the cervico-thoracic junction. / Hart, Robert; Tatsumi, Robert L.; Hiratzka, Jayme; Yoo, Jung.

In: Spine, Vol. 33, No. 26, 15.12.2008, p. 2887-2891.

Research output: Contribution to journalArticle

@article{b7680f75c1bb43a78050d41344825801,
title = "Perioperative complications of combined anterior and posterior cervical decompression and fusion crossing the cervico-thoracic junction.",
abstract = "STUDY DESIGN: Retrospective review. OBJECTIVE: To determine the perioperative complications for patients undergoing single stage, multilevel, anterior, and posterior cervical fusions crossing the cervico-thoracic junction. SUMMARY OF BACKGROUND DATA: Cervical spinal stenosis with kyphosis involving 3 or more disc levels is often treated via combined anterior decompression and posterior instrumented fusion. When long cervical fusions end at C7, many surgeons extend the posterior fusion across the cervico-thoracic junction to reduce the potential for adjacent segment breakdown. Perioperative complications associated with these procedures have not previously been described. METHODS: A retrospective review of perioperative complications occurring in patients undergoing combined anterior decompression and posterior instrumented arthrodesis crossing the cervico-thoracic junction. The effect of operative time, blood loss, and fluid replacement on the need for extended intubation was tested with a Fisher exact test. RESULTS: Thirteen patients fit the inclusion criteria. Nine patients experienced at least 1 complication (69{\%}, 9/13) during the perioperative period, comprising 16 minor and 5 major complications. The most common complications were dysphagia (46{\%}, 6/19) and airway edema requiring extended intubation (38{\%}, 5/13). CONCLUSION: Complications are frequent following these procedures, although the majority were minor and resolved without lasting effect. Airway edema requiring prolonged intubation or reintubation was frequent. With the numbers available, we were unable to show a relationship between the need for extended intubation and variables including operative time, blood loss, or volume of fluid replacement.",
author = "Robert Hart and Tatsumi, {Robert L.} and Jayme Hiratzka and Jung Yoo",
year = "2008",
month = "12",
day = "15",
language = "English (US)",
volume = "33",
pages = "2887--2891",
journal = "Spine",
issn = "0362-2436",
publisher = "Lippincott Williams and Wilkins",
number = "26",

}

TY - JOUR

T1 - Perioperative complications of combined anterior and posterior cervical decompression and fusion crossing the cervico-thoracic junction.

AU - Hart, Robert

AU - Tatsumi, Robert L.

AU - Hiratzka, Jayme

AU - Yoo, Jung

PY - 2008/12/15

Y1 - 2008/12/15

N2 - STUDY DESIGN: Retrospective review. OBJECTIVE: To determine the perioperative complications for patients undergoing single stage, multilevel, anterior, and posterior cervical fusions crossing the cervico-thoracic junction. SUMMARY OF BACKGROUND DATA: Cervical spinal stenosis with kyphosis involving 3 or more disc levels is often treated via combined anterior decompression and posterior instrumented fusion. When long cervical fusions end at C7, many surgeons extend the posterior fusion across the cervico-thoracic junction to reduce the potential for adjacent segment breakdown. Perioperative complications associated with these procedures have not previously been described. METHODS: A retrospective review of perioperative complications occurring in patients undergoing combined anterior decompression and posterior instrumented arthrodesis crossing the cervico-thoracic junction. The effect of operative time, blood loss, and fluid replacement on the need for extended intubation was tested with a Fisher exact test. RESULTS: Thirteen patients fit the inclusion criteria. Nine patients experienced at least 1 complication (69%, 9/13) during the perioperative period, comprising 16 minor and 5 major complications. The most common complications were dysphagia (46%, 6/19) and airway edema requiring extended intubation (38%, 5/13). CONCLUSION: Complications are frequent following these procedures, although the majority were minor and resolved without lasting effect. Airway edema requiring prolonged intubation or reintubation was frequent. With the numbers available, we were unable to show a relationship between the need for extended intubation and variables including operative time, blood loss, or volume of fluid replacement.

AB - STUDY DESIGN: Retrospective review. OBJECTIVE: To determine the perioperative complications for patients undergoing single stage, multilevel, anterior, and posterior cervical fusions crossing the cervico-thoracic junction. SUMMARY OF BACKGROUND DATA: Cervical spinal stenosis with kyphosis involving 3 or more disc levels is often treated via combined anterior decompression and posterior instrumented fusion. When long cervical fusions end at C7, many surgeons extend the posterior fusion across the cervico-thoracic junction to reduce the potential for adjacent segment breakdown. Perioperative complications associated with these procedures have not previously been described. METHODS: A retrospective review of perioperative complications occurring in patients undergoing combined anterior decompression and posterior instrumented arthrodesis crossing the cervico-thoracic junction. The effect of operative time, blood loss, and fluid replacement on the need for extended intubation was tested with a Fisher exact test. RESULTS: Thirteen patients fit the inclusion criteria. Nine patients experienced at least 1 complication (69%, 9/13) during the perioperative period, comprising 16 minor and 5 major complications. The most common complications were dysphagia (46%, 6/19) and airway edema requiring extended intubation (38%, 5/13). CONCLUSION: Complications are frequent following these procedures, although the majority were minor and resolved without lasting effect. Airway edema requiring prolonged intubation or reintubation was frequent. With the numbers available, we were unable to show a relationship between the need for extended intubation and variables including operative time, blood loss, or volume of fluid replacement.

UR - http://www.scopus.com/inward/record.url?scp=67650119454&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67650119454&partnerID=8YFLogxK

M3 - Article

C2 - 19092620

AN - SCOPUS:67650119454

VL - 33

SP - 2887

EP - 2891

JO - Spine

JF - Spine

SN - 0362-2436

IS - 26

ER -