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Complications of Cervical Spine Surgery

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

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Complications of Cervical Spine Surgery

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  1. Complications of Cervical Spine Surgery MH Ford MD FRCS

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

  3. Anterior Surgery • Procedure Specific

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

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

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

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

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

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

  10. Anterior Surgery • Vertebral artery injury

  11. Posterior Surgery • Neurological injury • Vertebral artery injury

  12. Cervical Surgery • Non-union biomechanical causes biological causes

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