Fig. 1. Radiological features of the patient with reintubation after ACSS. (A) A 73-year-old male patient (case No. 9) showing herniated intervertebral.

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Presentation transcript:

Fig. 1. Radiological features of the patient with reintubation after ACSS. (A) A 73-year-old male patient (case No. 9) showing herniated intervertebral disc C3–C4 with severe spinal cord compression on sagittal MR imaging. Anterior cervical discectomy C3–C4 and fusion using iliac bone graft was performed. Extubation was conducted on the day of operation as the patient has no respiratory distress and immediate postoperative plain lateral X-ray revealed (B) only mild prevertebral soft tissue swelling compared to (C) preoperative film. (D) On postoperative day 4, the patient began complaining of difficult breathing and plain lateral X-ray showed markedly increased prevertebral soft tissue swelling. (E) We decided to reintubate the patient to protect the airway patency. (F) The patient was intubated for 4 days and extubated on postoperative day 8. The patient was discharged from hospital on postoperative day 14 without any further respiratory distress. ACSS = anterior cervical spine surgery, MR = magnetic resonance. Fig. 1. Radiological features of the patient with reintubation after ACSS. (A) A 73-year-old male patient (case No. 9) showing herniated intervertebral disc C3–C4 with severe spinal cord compression on sagittal MR imaging. Anterior cervical discectomy C3– C4 and fusion using iliac bone graft was performed. Extubation was conducted on the day of operation… J Korean Med Sci. 2018 Apr;33(17):e77. https://doi.org/10.3346/jkms.2018.33.e77