Global spine journal
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Multi-institutional retrospective study. ⋯ Hypoglossal nerve injury during cervical spine surgery is an extremely rare complication. Institutional rates may vary. Care should be taken during posterior cervical surgery to avoid hyperflexion of the neck and endotracheal tube malposition.
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Global spine journal · Apr 2017
Carotid Artery Injury in Anterior Cervical Spine Surgery: Multicenter Cohort Study and Literature Review.
Retrospective study and literature review. ⋯ CAI and CVA related to anterior cervical spine surgeries are extremely rare. We were not able to find neither in our retrospective study nor in our literature research a correlation between the type or length of anterior cervical spine procedure with CVA or CAI complications. However, surgeons should be aware of the possibility of vascular complications and minimize intraoperative direct vascular manipulations or retraction. Preoperative screening for underlying vascular pathology and risk factors is also important.
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Global spine journal · Apr 2017
Iatrogenic Spinal Cord Injury Resulting From Cervical Spine Surgery.
Retrospective cohort study of prospectively collected data. ⋯ Iatrogenic spinal cord injury following cervical spine surgery is a rare and devastating adverse event. No standard protocol exists that can guarantee prevention of this complication, and there is a lack of consensus regarding evaluation and treatment when it does occur. Emergent imaging with magnetic resonance imaging or computed tomography myelography to evaluate for compressive etiology or malpositioned instrumentation and avoidance of hypotension should be performed in cases of intraoperative and postoperative spinal cord injury.
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Global spine journal · Apr 2017
A Multicenter Review of Superior Laryngeal Nerve Injury Following Anterior Cervical Spine Surgery.
A retrospective multicenter case-series study; case report and review of the literature. ⋯ This multicenter study demonstrates that identification of SLN injury occurs very infrequently. Symptomatic SLN injury is an exceedingly rare complication of anterior cervical spine surgery. The SLN is particularly vulnerable when exposing the more rostral levels of the cervical spine. Careful dissection and retraction of the longus coli may decrease the risk of SLN injury during anterior cervical surgery.
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Global spine journal · Apr 2017
Thoracic Duct Injury Following Cervical Spine Surgery: A Multicenter Retrospective Review.
Multicenter retrospective case series. ⋯ Damage to the thoracic duct during cervical spine surgery is a relatively rare occurrence. Rapid identification of the disruption of this lymphatic vessel is critical to minimize deleterious effects of this complication.