Mortality and Morbidity Associated With Correction of Severe Cervical Hyperextension
Mortality and Morbidity Associated With Correction of Severe Cervical Hyperextension
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DOI：
10.1097/brs.0b013e3181947ce4
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发表时间：
2009-02-15
期刊：
影响因子：
3
通讯作者：
Farley, Frances A.
中科院分区：
文献类型：
--
作者：
Poulter, Gregory T.;Garton, Hugh J. L.;Farley, Frances A.
研究设计.重度颈椎过伸症治疗3例报告。颈椎过伸是一种罕见的脊柱畸形，与肌病有关。以前的手术矫正报告没有报告重大手术并发症。本报告概述了我们对3例发生严重并发症的患者的经验。关于颈椎过伸治疗的文献有限，具有良好至极好的结局。本文报告3例。3例术中矫正的严重颈椎过伸病例有相关的发病率和死亡率。1例插管失败，需要气管切开术。随后进行了2周的成功后路松解和Halo牵引，然后进行了后路颈椎融合术。该患者术后2周在家中死亡。第二例和第三例在颈椎过伸后路松解术中发生脊髓损伤。严重颈椎过伸患者围手术期神经系统风险高。
Study Design. Three case reports of patients with treatment of severe cervical hyperextension.Objective. Cervical hyperextension is a rare spine deformity that is associated with myopathies. Previous reports of surgical correction have reported no major operative complications. This report outlines our experience with 3 patients who experienced significant complications.Summary of Background Data. The limited literature on the treatment of cervical hyperextension has good to excellent outcomes.Methods. Three case reports are presented.Results. Three cases with severe cervical hyperextension with intraoperative correction had associated morbidity and mortality. One case had a failed intubation requiring tracheotomy. This was followed by a successful posterior release with halo traction for 2 weeks and then an instrumented posterior cervical fusion. This patient died at home 2 weeks after surgery. The second and third cases had an intraoperative spinal cord injury during a posterior release for cervical hyperextension.Conclusion. Patients with severe cervical hyperextension have high neurologic perioperative risk.