Complications of Cervical Spine Surgery

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Presentation transcript:

Complications of Cervical Spine Surgery MH Ford MD FRCS

Cervical Surgery General complications Infection DVT&PE Co-morbidity dependant complications

Anterior Surgery Procedure Specific

Anterior Surgery Carotid sheath injury Esophageal injury Recurrent laryngeal nerve injury Superior laryngeal nerve injury Sympathetic chain injury Cord \ root injury Vertebral artery injury

Anterior Surgery Carotid sheath injury - consequences and prevention -management – direct repair - venous patch - endovascular stent

Anterior Surgery Esophageal injury -consequences and prevention -management – direct repair and gastrostomy

Anterior Surgery Recurrent laryngeal nerve injury -consequences and prevention -management- conservative -vocal fold medialization

Anterior Surgery Sympathetic chain injury consequences and management -miosis -ptosis -anhydrosis -prevention

Anterior Surgery Cord/root injury -prevention and management -diamond burr

Anterior Surgery Vertebral artery injury

Posterior Surgery Neurological injury Vertebral artery injury

Cervical Surgery Non-union biomechanical causes biological causes