Skip to main content

Mid-Cervical Kyphosis Surgery Complication

  • Chapter
  • First Online:
Spinal Deformity
  • 965 Accesses

Abstract

Degenerative cervical kyphosis is a progressive disease that can result in neck pain, myeloradiculopathy, and loss of horizontal gaze. In significantly symptomatic cases, surgical intervention consisting of either anterior, posterior, or circumferential decompression and fusion has shown to improve symptoms. In this chapter, a case of mid-cervical degenerative kyphosis treated with corpectomy and posterior fusion surgery is presented. This case was complicated by postoperative delayed C5 palsy. The etiology, presentation, treatment, and outcomes of C5 palsies will be discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

Similar content being viewed by others

References

  1. Tracy JA, Bartleson JD. Cervical spondylotic myelopathy. Neurologist. 2010;16:176–87.

    Article  PubMed  Google Scholar 

  2. Karadimas SK, Erwin WM, Ely CG, Dettori JR, Fehlings MG. Pathophysiology and natural history of cervical spondylotic myelopathy. Spine (Phila Pa 1976). 2013;38(22 Suppl):S21–36.

    Article  Google Scholar 

  3. Fehlings MG, Smith JS, Kopjar B, Arnold PM, Yoon ST, Vaccaro AR, et al. Perioperative and delayed complications associated with the surgical treatment of cervical spondylotic myelopathy based on 302 patients from the AOSpine North America Cervical Spondylotic Myelopathy Study. J Neurosurg Spine. 2012;16:425–32.

    Article  PubMed  Google Scholar 

  4. Ashkenazi E, Smorgick Y, Rand N, Millgram MA, Mirovsky Y, Floman Y. Anterior decompression combined with corpectomies and discectomies in the management of multilevel cervical myelopathy: a hybrid decompression and fixation technique. J Neurosurg Spine. 2005;3:205–9.

    Article  PubMed  Google Scholar 

  5. Nakashima H, Imagama S, Yukawa Y, Kanemura T, Kamiya M, et al. Multivariate analysis of C-5 palsy incidence after cervical posterior fusion with instrumentation. J Neurosurg Spine. 2012;17:103–10. doi:10.3171/2012.4.SPINE11255.

    Article  PubMed  Google Scholar 

  6. Kaneyama S, Sumi M, Yano T, et al. Prospective study and multivariate analysis of the incidence of C5 palsy a er cervical laminoplasty. Spine. 2010;35(26):E1553–8.

    Article  PubMed  Google Scholar 

  7. Nassr A, Eck JC, Ponnappan RK, Zanoun RR, Donaldson WF III, Kang JD. The incidence of C5 palsy after multilevel cervical decompression procedures: a review of 750 consecutive cases. Spine (Phila Pa 1976). 2012;37:174–8.

    Article  Google Scholar 

  8. Bydon M, Macki M, Kaloostian P, Sciubba DM, Wolinsky JP, Gokaslan ZL, et al. Incidence and prognostic factors of C5 palsy: a clinical study of 1001 cases and review of the literature. Neurosurgery. 2014;74:595–605.

    Article  PubMed  Google Scholar 

  9. Burke JF, Ohya J, Vogel TD, Virk M, Chou D, Mummaneni PV. The accuracy of multimodality intraoperative neuromonitoring to predict postoperative neurological deficits following cervical laminoplasty. Neurosurgery. 2016;63(Suppl 1):168.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Frank La Marca .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Harwell, D., La Marca, F. (2018). Mid-Cervical Kyphosis Surgery Complication. In: Mummaneni, P., Park, P., Crawford III, C., Kanter, A., Glassman, S. (eds) Spinal Deformity . Springer, Cham. https://doi.org/10.1007/978-3-319-60083-3_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-60083-3_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60082-6

  • Online ISBN: 978-3-319-60083-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics