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Article: Careful follow-up after "successful" surgery: postoperative spondylolisthesis after anterior cervical corpectomy and fusion with instrumentation

TitleCareful follow-up after "successful" surgery: postoperative spondylolisthesis after anterior cervical corpectomy and fusion with instrumentation
Authors
KeywordsAnterior
Cervical
Complications
Corpectomy
Disk
Fusion
Herniation
Spine
Spondylolisthesis
Stenosis
Strut graft
Issue Date2008
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/surneu
Citation
Surgical Neurology, 2008, v. 69 n. 6, p. 637-640 How to Cite?
AbstractBackground: Anterior cervical corpectomy and fusion with instrumentation is a common procedure for the surgical treatment of cervical spinal cord and/or nerve root decompression or for deformity correction. However, various postoperative complications have been associated with such a surgical intervention. Postoperative spondylolisthesis after an anterior cervical corpectomy with instrumentation is a serious complication that has rarely been addressed in the literature, and may potentially be underreported. Case Description: A 44-year-old woman with degenerative disk disease, loss of cervical lordosis, congenital cervical stenosis at C5-C6, and a left-sided herniated disk at C6-C7 underwent an anterior cervical corpectomy of C6 with fusion and anterior plate stabilization of C5-C7. Early postoperative evaluation noted complete resolution of the patient's symptoms. At 6 months after surgery, the patient complained of neck pain and intermittent headaches. Radiographic evaluation noted fusion of the corpectomy strut graft with retrolisthesis of C5 on C6 and early myelomalacia at C5-C6. A cervical laminectomy with posterior instrumentation from C5 to C7 was performed and the patient's symptoms resolved. Conclusions: Postoperatively, a high index of suspicion should be present for the development of spondylolisthesis in patients undergoing an anterior cervical corpectomy and fusion procedure with or without instrumentation, particularly in individuals with persistent or new symptoms even after a "successful" operative procedure. The spine surgeon should address appropriate operative techniques and postoperative management to decrease the risk of spondylolisthesis after such a procedure. © 2008 Elsevier Inc. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/92918
ISSN
2011 Impact Factor: 1.669
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorShen, FHen_HK
dc.contributor.authorSamartzis, Den_HK
dc.date.accessioned2010-09-22T05:03:45Z-
dc.date.available2010-09-22T05:03:45Z-
dc.date.issued2008en_HK
dc.identifier.citationSurgical Neurology, 2008, v. 69 n. 6, p. 637-640en_HK
dc.identifier.issn0090-3019en_HK
dc.identifier.urihttp://hdl.handle.net/10722/92918-
dc.description.abstractBackground: Anterior cervical corpectomy and fusion with instrumentation is a common procedure for the surgical treatment of cervical spinal cord and/or nerve root decompression or for deformity correction. However, various postoperative complications have been associated with such a surgical intervention. Postoperative spondylolisthesis after an anterior cervical corpectomy with instrumentation is a serious complication that has rarely been addressed in the literature, and may potentially be underreported. Case Description: A 44-year-old woman with degenerative disk disease, loss of cervical lordosis, congenital cervical stenosis at C5-C6, and a left-sided herniated disk at C6-C7 underwent an anterior cervical corpectomy of C6 with fusion and anterior plate stabilization of C5-C7. Early postoperative evaluation noted complete resolution of the patient's symptoms. At 6 months after surgery, the patient complained of neck pain and intermittent headaches. Radiographic evaluation noted fusion of the corpectomy strut graft with retrolisthesis of C5 on C6 and early myelomalacia at C5-C6. A cervical laminectomy with posterior instrumentation from C5 to C7 was performed and the patient's symptoms resolved. Conclusions: Postoperatively, a high index of suspicion should be present for the development of spondylolisthesis in patients undergoing an anterior cervical corpectomy and fusion procedure with or without instrumentation, particularly in individuals with persistent or new symptoms even after a "successful" operative procedure. The spine surgeon should address appropriate operative techniques and postoperative management to decrease the risk of spondylolisthesis after such a procedure. © 2008 Elsevier Inc. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/surneuen_HK
dc.relation.ispartofSurgical Neurologyen_HK
dc.rightsSurgical Neurology. Copyright © Elsevier Inc.-
dc.subjectAnterioren_HK
dc.subjectCervicalen_HK
dc.subjectComplicationsen_HK
dc.subjectCorpectomyen_HK
dc.subjectDisken_HK
dc.subjectFusionen_HK
dc.subjectHerniationen_HK
dc.subjectSpineen_HK
dc.subjectSpondylolisthesisen_HK
dc.subjectStenosisen_HK
dc.subjectStrut graften_HK
dc.subject.meshCervical Vertebrae-
dc.subject.meshInternal Fixators-
dc.subject.meshLaminectomy-
dc.subject.meshSpinal Fusion-
dc.subject.meshSpondylolisthesis - complications - radiography - surgery-
dc.titleCareful follow-up after "successful" surgery: postoperative spondylolisthesis after anterior cervical corpectomy and fusion with instrumentationen_HK
dc.typeArticleen_HK
dc.identifier.emailSamartzis, D:dspine@hku.hken_HK
dc.identifier.authoritySamartzis, D=rp01430en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.surneu.2007.03.019en_HK
dc.identifier.pmid18262250-
dc.identifier.scopuseid_2-s2.0-43449107062en_HK
dc.identifier.hkuros167467-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-43449107062&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume69en_HK
dc.identifier.issue6en_HK
dc.identifier.spage637en_HK
dc.identifier.epage640en_HK
dc.identifier.isiWOS:000256274600015-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridShen, FH=7201583245en_HK
dc.identifier.scopusauthoridSamartzis, D=34572771100en_HK

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