Anterior cervical surgery and prevention of complications.docVIP

 PAGE \* MERGEFORMAT 6 Anterior cervical surgery and prevention of complications Of: Weiliang Chen Xin Feng Ye Haiming Xie Xiaochen [Abstract] Objective To summarize the complications of anterior cervical spine surgery causes and prevention and treatment. Methods 63 patients underwent anterior cervical surgery, including cervical spine fracture and dislocation with spinal cord injuries in 28 cases, 31 cases of cervical spondylotic myelopathy, cervical tuberculosis in 3 cases, 1 case of cervical cancer. by transverse incision or oblique cervical incision, cervical disc disease scrape single segment line decompression, double segment corpectomy decompression, the three segments were performed discectomy decompression, vertebral body tumor line resection line TB lesions cleared. most of the three cortical autogenous iliac bone graft, locking plate fixation, a small number of fusion with iliac bone graft and titanium mesh cage Cage fusion. Results A total of 14 cases of complications. which jets back 2 cases of nerve injury, cerebrospinal fluid leakage in 1 case, 3 cases of increased symptoms of spinal cord injury, plate and screw the poor location or loose in 4 cases, 1 case of esophageal fistula, intractable low sodium chloride hyperlipidemia in 1 case, 1 case of acute gastric mucosal lesion should be induced ulcer in 1 case. by the corresponding 12 patients were cured after treatment, 2 died. Conclusion Surgical complications with the surgery directly proficiency, surgical technique, surgical experience are closely related. surgical complications and patient severity of indirect and other organs state are closely related. preoperative correct assessment of the disease, the correct selection of surgical methods and surgical time, intraoperative specifications and skilled operation, perioperative observation and treatment is the key to reducing surgical complications. [Keywords:] cervical spine surgical complications With the popularity of anterior cer