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Brachial Plexopathy After Cervical Spine Surgery

STUDY DESIGN: Retrospective, multicenter case-series study and literature review. OBJECTIVES: To determine the prevalence of brachial plexopathy after cervical spine surgery and to review the literature to better understand the etiology and risk factors of brachial plexopathy after cervical spine su...

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Autores principales: Than, Khoi D., Mummaneni, Praveen V., Smith, Zachary A., Hsu, Wellington K., Arnold, Paul M., Fehlings, Michael G., Mroz, Thomas E., Riew, K. Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400182/
https://www.ncbi.nlm.nih.gov/pubmed/28451486
http://dx.doi.org/10.1177/2192568216687297
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author Than, Khoi D.
Mummaneni, Praveen V.
Smith, Zachary A.
Hsu, Wellington K.
Arnold, Paul M.
Fehlings, Michael G.
Mroz, Thomas E.
Riew, K. Daniel
author_facet Than, Khoi D.
Mummaneni, Praveen V.
Smith, Zachary A.
Hsu, Wellington K.
Arnold, Paul M.
Fehlings, Michael G.
Mroz, Thomas E.
Riew, K. Daniel
author_sort Than, Khoi D.
collection PubMed
description STUDY DESIGN: Retrospective, multicenter case-series study and literature review. OBJECTIVES: To determine the prevalence of brachial plexopathy after cervical spine surgery and to review the literature to better understand the etiology and risk factors of brachial plexopathy after cervical spine surgery. METHODS: A retrospective case-series study of 12 903 patients at 21 different sites was performed to analyze the prevalence of several different complications, including brachial plexopathy. A literature review of the US National Library of Medicine and the National Institutes of Health (PubMed) database was conducted to identify articles pertaining to brachial plexopathy following cervical spine surgery. RESULTS: In our total population of 12 903 patients, only 1 suffered from postoperative brachial plexopathy. The overall prevalence rate was thus 0.01%, but the prevalence rate at the site where this complication occurred was 0.07%. Previously reported risk factors for postoperative brachial plexopathy include age, anterior surgical procedures, and a diagnosis of ossification of the posterior longitudinal ligament. The condition can also be due to patient positioning during surgery, which can generally be detected via the use of intraoperative neuromonitoring. CONCLUSIONS: Brachial plexopathy following cervical spine surgery is rare and merits further study.
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spelling pubmed-54001822017-04-27 Brachial Plexopathy After Cervical Spine Surgery Than, Khoi D. Mummaneni, Praveen V. Smith, Zachary A. Hsu, Wellington K. Arnold, Paul M. Fehlings, Michael G. Mroz, Thomas E. Riew, K. Daniel Global Spine J Articles STUDY DESIGN: Retrospective, multicenter case-series study and literature review. OBJECTIVES: To determine the prevalence of brachial plexopathy after cervical spine surgery and to review the literature to better understand the etiology and risk factors of brachial plexopathy after cervical spine surgery. METHODS: A retrospective case-series study of 12 903 patients at 21 different sites was performed to analyze the prevalence of several different complications, including brachial plexopathy. A literature review of the US National Library of Medicine and the National Institutes of Health (PubMed) database was conducted to identify articles pertaining to brachial plexopathy following cervical spine surgery. RESULTS: In our total population of 12 903 patients, only 1 suffered from postoperative brachial plexopathy. The overall prevalence rate was thus 0.01%, but the prevalence rate at the site where this complication occurred was 0.07%. Previously reported risk factors for postoperative brachial plexopathy include age, anterior surgical procedures, and a diagnosis of ossification of the posterior longitudinal ligament. The condition can also be due to patient positioning during surgery, which can generally be detected via the use of intraoperative neuromonitoring. CONCLUSIONS: Brachial plexopathy following cervical spine surgery is rare and merits further study. SAGE Publications 2017-04-01 2017-04 /pmc/articles/PMC5400182/ /pubmed/28451486 http://dx.doi.org/10.1177/2192568216687297 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Articles
Than, Khoi D.
Mummaneni, Praveen V.
Smith, Zachary A.
Hsu, Wellington K.
Arnold, Paul M.
Fehlings, Michael G.
Mroz, Thomas E.
Riew, K. Daniel
Brachial Plexopathy After Cervical Spine Surgery
title Brachial Plexopathy After Cervical Spine Surgery
title_full Brachial Plexopathy After Cervical Spine Surgery
title_fullStr Brachial Plexopathy After Cervical Spine Surgery
title_full_unstemmed Brachial Plexopathy After Cervical Spine Surgery
title_short Brachial Plexopathy After Cervical Spine Surgery
title_sort brachial plexopathy after cervical spine surgery
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400182/
https://www.ncbi.nlm.nih.gov/pubmed/28451486
http://dx.doi.org/10.1177/2192568216687297
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