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C5 palsy following anterior decompression and spinal fusion for cervical degenerative diseases

Postoperative C5 palsy is a common complication after cervical spine decompression surgery. However, the incidence, prognosis, and etiology of C5 palsy after anterior decompression with spinal fusion (ASF) have not yet been fully established. In the present study, we analyzed the clinical and radiological characteristics of patients who developed C5 palsy after ASF for cervical degenerative diseases. The cases of 199 consecutive patients who underwent ASF were analyzed to clarify the incidence of postoperative C5 palsy. We also evaluated the onset and prognosis of C5 palsy. The presence of high signal changes (HSCs) in the spinal cord was analyzed using T2-weighted magnetic resonance images. C5 palsy occurred in 17 patients (8.5%), and in 15 of them, the palsy developed after ASF of 3 or more levels. Among ten patients who had a manual muscle test (MMT) grade Keywords : Adult,adverse effects,Aged,Decompression,Decompression,Surgical,diagnosis,epidemiology,etiology,Humans,Incidence,Japan,Male,methods,Muscle Weakness,Neck,Pain,pathology,Patients,Postoperative Complications,Prognosis,Severity of Illness Index,Shoulder,Shoulder Pain,Spinal Cord,Spinal Cord Injuries,Spinal Fusion,Spine,Spondylosis,surgery,, Palsy,Following,Anterior,Decompression, london pain clinic harley street

Date of Publication : 2010 Oct

Authors : Hashimoto M;Mochizuki M;Aiba A;Okawa A;Hayashi K;Sakuma T;Takahashi H;Koda M;Takahashi K;Yamazaki M;

Organisation : Department of Orthopaedic Surgery, Numazu City Hospital, 550 Harunoki, Higashi-Shiiji, Numazu, Shizuoka 410-0302, Japan

Journal of Publication : Eur Spine J

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20461418

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