Title

Perioperative and Approach-Related Complications Associated with Anterior Cervical Surgery

Document Type

Journal Article

Publication Date

9-1-2009

Journal

Seminars in Spine Surgery

Volume

21

Issue

3

DOI

10.1053/j.semss.2009.05.003

Keywords

anterior cervical approach; complication; diagnosis; Smith-Robinson; treatment

Abstract

The anterior approach to the cervical spine follows a well-defined fascial plane to the vertebral bodies and discs and allows for good decompression of the spinal cord and nerve roots. Interbody fusion and anterior instrumentation can be carried out with little added morbidity. Patients can anticipate good outcomes, and the risk of complications is small in the hands of an experienced surgeon. This article reviews the published data on complications of the anterior approach to the cervical spine, focusing on etiology, diagnosis, and management of these complications. Raising the surgeons' awareness on complications that are possible during the procedure is essential in minimizing the incidence of adverse events, and allows for early detection and appropriate management of complications when they do occur. © 2009 Elsevier Inc. All rights reserved.

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