Posterior cervical spine surgery Perioperative Nursing.docVIP

 PAGE \* MERGEFORMAT 6 Posterior cervical spine surgery Perioperative Nursing [Keywords:] and posterior cervical spine surgery, nursing, perioperative Posterior cervical spine surgery is the treatment of the traditional surgical method, adapted to the severe multilevel cervical spondylotic myelopathy, ossification of posterior longitudinal ligament and spinal canal stenosis due to have anterior decompression surgery are not ideal [1] . posterior surgery has to look straight into the adequate decompression, etc., but because of posterior complex surgical anatomy, it is more difficult to operate there is surgery, devastating large, unstable spine after surgery prone to defects [2]. I Division from October 2005 to June 2007 on the implementation of 12 patients with cervical spondylosis and posterior cervical spine surgery, results were satisfactory. now reported as follows Nursing. 1 Materials and Methods 1.1 Clinical data The group of 12 patients, including 8 males and 4 females, aged 36 to 58 years, average 48.4 years old, 5 cases of cervical spondylotic myelopathy, traumatic atlantoaxial dislocation with incomplete paralysis in 2 cases, has been in effect anterior not satisfactory in 2 cases, 3 cases of spinal stenosis. 1.2 Procedures General anesthesia with endotracheal intubation, the patient to take the prone position, the chest slightly elevate the head placed in the first rack, head and neck slightly buckling, eye protection, there is traction to maintain a skull traction .12 cases have screws and in 5 cases titanium rod fixation, 7 cases were taken from the iliac bone grafting and internal fixation. Hand blood loss 100 ~ 500 mL, operation time was 2.5 ~ 3 h. 2 Results 1 case of cerebrospinal fluid leakage occurred after 2 d, after giving extubation, encryption suture, such as taking the high head low enough to heal after treatment patients were .12 and X-ray examination 1 week after fixation in place, all patients were discharge