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COMPLICATIONS OF ANTERIOR APPROACH TO THE CERVICAL SPINE*

  • Ünal KİRİŞOĞLU
  • Serhat ERBAYRAKTAR
  • Saffet ERK
  • Zafer YÜKSEL
  • Engin UÇAR
  • Metin GÜNER

J Turk Spinal Surg 1996;7(4):131-134

Since 1984, 12 cases has been seen as a complication of anterİor approach to the cervicai spine İn 267 con-secutive paiienîs were reviewed. The re were 134 (50.2%) men and 133 (49.8%) women; their ages ranges from 17 to 73 years. Theİrpathologies were herniated disc, trauma and tumor. Among these 267 patients, 178 (66.6%) modified Cioward technique, 58 (21.7%) Cioward technique and 31 (11.7%) vertebrectomy were performed. Över-ali complication rate was 4.49 percent. Most common compiications were bone graft süppage (2.24%) or fracture (0.75%) v/hich couidbe easİİy diagnosed by plain x-ray. Overaii İnfection rate was 1.49 percent. Wound infection of donor site was seen in 2 patients (0.75%), bony infection of the primary operative site in one (0.37%) and retro-pharyngeal abscess in one (0.37%). One patient (0.37%) hadpostoperative transient Horner's syndrome resolving within three days. Eight patients (2.99%) underwent reoperation in the eariy or late postoperative period for graft siippage and graft fracture. The results of reoperations were successful.

Keywords: compiications, cervicai spine, anterİor