scholarly journals Anatomical Variations That Can Lead to Spine Surgery at the Wrong Level: Part I, Cervical Spine

Cureus ◽  
2020 ◽  
Author(s):  
Manan Shah ◽  
Dia R Halalmeh ◽  
Aubin Sandio ◽  
R. Shane Tubbs ◽  
Marc D Moisi
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Anatomical Variations

scholarly journals Evaluation of tortuous vertebral arteries before cervical spine surgery: illustrative case

2021 ◽  
Vol 1 (20) ◽  
Author(s):  
J. Manuel Sarmiento ◽  
Justin D. Cohen ◽  
Robin M. Babadjouni ◽  
Miguel D. Quintero-Consuegra ◽  
Nestor R. Gonzalez ◽  
...  
Keyword(s):  
At Risk ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Lateral Displacement ◽  
Posterior Instrumentation ◽  
Anatomical Variations ◽  
Illustrative Case ◽  
Transverse Foramen ◽  
Cervical Spine Surgery ◽  
Increased Risk

BACKGROUND Cervical spine surgery sometimes necessitates complex ventral/dorsal approaches or osteotomies that place the vertebral artery (VA) at risk of inadvertent injury. Tortuosity of the VA poses increased risk of vessel injury during anterior decompression or placement of posterior instrumentation. OBSERVATIONS In this report, the authors describe a patient with degenerative cervical spondylotic myelopathy and focal kyphotic deformity requiring corrective surgery via a combined ventral/dorsal approach. Computed tomography (CT) and CT angiography (CTA) of the spine identified a left medially enlarged C4 transverse foramen and tortuous VA V2 segment forming a potentially dangerous medial loop into the vertebral body, respectively. The patient’s presentation and management are described. LESSONS The course of the VA is variable, and a tortuous VA with significant medial or lateral displacement may be dangerous during ventral and dorsal approaches to the cervical spine. CTA of the cervical spine is warranted in cases in which atlantoaxial fixation is needed or suspicious transverse foramen morphology is identified to understand the course of the VA and identify anatomical variations that would put the VA at risk during cervical spine surgery.

Anatomical variations of the foramen transversarium in cervical vertebrae: findings, review of the literature, and clinical significance during cervical spine surgery

2016 ◽  
Vol 25 (12) ◽  
pp. 4132-4139 ◽  
Author(s):  
Aristeidis H. Zibis ◽  
Vasileios Mitrousias ◽  
Kyriaki Baxevanidou ◽  
Michael Hantes ◽  
Theofilos Karachalios ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Clinical Significance ◽  
Spine Surgery ◽  
Cervical Vertebrae ◽  
Anatomical Variations ◽  
Review Of The Literature ◽  
Cervical Spine Surgery

Application of Smith-Robinson approach for C2/3 cervical spine surgery

2013 ◽  
Vol 32 (11) ◽  
pp. 1199-1202
Author(s):  
Ying ZHANG ◽  
Jun MA ◽  
Yuan-yuan CHEN ◽  
Xin-wei WANG ◽  
De-yu CHEN ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Cervical Spine Surgery

scholarly journals Impact of Diabetes Mellitus on Cervical Spine Surgery for Ossification of the Posterior Longitudinal Ligament

2021 ◽  
Vol 10 (15) ◽  
pp. 3375
Author(s):  
Atsushi Kimura ◽  
Katsushi Takeshita ◽  
Toshitaka Yoshii ◽  
Satoru Egawa ◽  
Takashi Hirai ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cervical Spine ◽  
Postoperative Complications ◽  
Spine Surgery ◽  
Posterior Longitudinal Ligament ◽  
Lower Extremity Function ◽  
Cervical Spine Surgery ◽  
The Impact

Ossification of the posterior longitudinal ligament (OPLL) is commonly associated with diabetes mellitus (DM); however, the impact of DM on cervical spine surgery for OPLL remains unclear. This study was performed to evaluate the influence of diabetes DM on the outcomes following cervical spine surgery for OPLL. In total, 478 patients with cervical OPLL who underwent surgical treatment were prospectively recruited from April 2015 to July 2017. Functional measurements were conducted at baseline and at 6 months, 1 year, and 2 years after surgery using JOA and JOACMEQ scores. The incidence of postoperative complications was categorized into early (≤30 days) and late (>30 days), depending on the time from surgery. From the initial group of 478 patients, 402 completed the 2-year follow-up and were included in the analysis. Of the 402 patients, 127 (32%) had DM as a comorbid disease. The overall incidence of postoperative complications was significantly higher in patients with DM than in patients without DM in both the early and late postoperative periods. The patients with DM had a significantly lower JOA score and JOACMEQ scores in the domains of lower extremity function and quality of life than those without DM at the 2-year follow-up.

P97. Correlation of UIV and cervical spine surgery to functional outcomes in AIS: a minimum 40-years follow-up

2020 ◽  
Vol 20 (9) ◽  
pp. S193
Author(s):  
Aron Sulovari ◽  
Adan Omar ◽  
Emmanuel N. Menga ◽  
Paul T. Rubery ◽  
James Sanders ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Functional Outcomes ◽  
Cervical Spine Surgery

scholarly journals Transient brain stem ischemia following cervical spine surgery: An unusual cause of delayed recovery

2014 ◽  
Vol 30 (3) ◽  
pp. 432 ◽  
Author(s):  
Nirmala Jonnavithula ◽  
Kavya Cherukuri ◽  
Padmaja Durga ◽  
DilipKumar Kulkarni ◽  
Vijayasaradhi Mudumba ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Brain Stem ◽  
Spine Surgery ◽  
Cervical Spine Surgery ◽  
Delayed Recovery ◽  
Brain Stem Ischemia

Delayed pharyngo-oesophageal perforation after anterior cervical spine surgery

2020 ◽  
Vol 66 (5) ◽  
pp. 414-416
Author(s):  
V. Poissonnet ◽  
V. Lubrano ◽  
A. Sadeler ◽  
E. Chabrillac
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Oesophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

Anesthesia and Perioperative Care in Cervical Spine Surgery

2016 ◽  
pp. 57-72
Author(s):  
Chierichini Angelo ◽  
Santoprete Stefano ◽  
Frassanito Luciano
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Perioperative Care ◽  
Cervical Spine Surgery

223. The psychological burden of disease among patients undergoing cervical spine surgery: are we underestimating our patients’ inherent disability?

2021 ◽  
Vol 21 (9) ◽  
pp. S114-S115
Author(s):  
Peter G. Passias ◽  
Sara Naessig ◽  
Waleed Ahmad ◽  
Katherine E. Pierce ◽  
Lara Passfall ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Burden Of Disease ◽  
Psychological Burden ◽  
Cervical Spine Surgery
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