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Complications of Cervical Spine Surgery

Explore the general and procedure-specific complications of cervical spine surgery, including infection, DVT&PE, and co-morbidity-related issues. Discover the risks and prevention strategies for anterior surgery complications like carotid sheath injury, esophageal injury, and nerve damage. Learn about the consequences and management of injuries to the sympathetic chain, spinal cord, root, and vertebral artery. Delve into posterior surgery risks, including neurological and arterial complications. Gain insights into non-union causes in cervical surgery, from biomechanical to biological factors.

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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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