Anterior cervical discectomy and fusion (ACDF) may lead to complications such as dysphagia, hoarseness, recurrent laryngeal nerve palsy, vocal cord palsy, dural tears with leakage of cerebrospinal fluid, haematoma, and oesophageal and vascular injuries. Hypopharyngeal injury in the early postoperative period is a rare, but life-threatening, problem. We present a patient with dyspnoea who developed subcutaneous emphysema in the early postoperative period after an iatrogenic hypopharyngeal injury following ACDF. These complications prolonged the postoperative course of the patient. The role of careful surgical intervention, and anticipation of potential complications, has been emphasized, especially when surgical exposure of the anterior spinal canal above C(4) is required
Keywords : adverse effects,Aged,cerebrospinal fluid,Cervical Vertebrae,complications,diagnosis,Diskectomy,Emphysema,etiology,Humans,Hypopharynx,Iatrogenic Disease,India,injuries,Intervertebral Disc Displacement,Male,methods,pathology,Postoperative Complications,Postoperative Period,prevention & control,Prostheses and Implants,Prosthesis Implantation,Respiratory Insufficiency,Spinal Canal,Subcutaneous Emphysema,surgery,Surgical Instruments,Trachea,, Injury,Leading,Subcutaneous,Emphysema, fibromyalgia specialists near me uk
Date of Publication : 2010 Nov
Authors : Rath GP;Marda M;Sokhal N;Singh P;Chandra PS;
Organisation : Department of Neuroanaesthesiology, Neurosciences Center, 6th Floor, Room No. 9, All India Institute of Medical Sciences, New Delhi 110029, India. girijarath@yahoo.co.in
Journal of Publication : J Clin Neurosci
Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20471837
The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery
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