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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2017; 04(03): 170-174
DOI: 10.4103/jnacc-jnacc-18.17
Brief Report
Thieme Medical and Scientific Publishers Private Ltd.

Post-operative complications in patients undergoing anterior cervical discectomy and fusion: A retrospective review

Rahul Yadav
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
,
Siddharth Chavali
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
,
Arvind Chaturvedi
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
,
Girija P. Rath
1   Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India
› Author Affiliations
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Publication History

Publication Date:
08 May 2018 (online)

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Abstract

Background: Anterior cervical discectomy and fusion (ACDF) is a surgical procedure used to manage various cervical spine disorders including spondylosis, prolapsed intervertebral disc, trauma and degenerative disc disease. However, this procedure may be associated with significant post-operative complications. In this study, we aimed to analyse the prevalence of post-operative complications following ACDF. Methods: Perioperative data of 128 patients who underwent ACDF surgery at our institute over a 3-year period was analysed. Patients who underwent previous neck surgeries were excluded. Results: Single level ACDF without cervical plating was observed to be the most commonly performed surgical procedure (53%). Dysphagia was the most common (16.4%) post-operative complaint, followed by neurological deterioration (7.9%). One patient suffered pharyngeal perforation and presented postoperatively with subcutaneous emphysema and haemoptysis. Conclusions: Post-operative dyphagia and worsening of pre-existing myelopathy were the most common complications following ACDF, and multilevel surgery was identified as the most significant risk factor. The early detection and prompt management may help reduce mortality and morbidity in such patients.

Keywords

Anterior cervical discectomy and fusion - cervical spine - complications - radiculopathy
 

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