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C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases
STUDY DESIGN: A multicenter, retrospective review of C5 palsy after cervical spine surgery. OBJECTIVE: Postoperative C5 palsy is a known complication of cervical decompressive spinal surgery. The goal of this study was to review the incidence, patient characteristics, and outcome of C5 palsy in pati...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400195/ https://www.ncbi.nlm.nih.gov/pubmed/28451494 http://dx.doi.org/10.1177/2192568216688189 |
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author | Thompson, Sara E. Smith, Zachary A. Hsu, Wellington K. Nassr, Ahmad Mroz, Thomas E. Fish, David E. Wang, Jeffrey C. Fehlings, Michael G. Tannoury, Chadi A. Tannoury, Tony Tortolani, P. Justin Traynelis, Vincent C. Gokaslan, Ziya Hilibrand, Alan S. Isaacs, Robert E. Mummaneni, Praveen V. Chou, Dean Qureshi, Sheeraz A. Cho, Samuel K. Baird, Evan O. Sasso, Rick C. Arnold, Paul M. Buser, Zorica Bydon, Mohamad Clarke, Michelle J. De Giacomo, Anthony F. Derakhshan, Adeeb Jobse, Bruce Lord, Elizabeth L. Lubelski, Daniel Massicotte, Eric M. Steinmetz, Michael P. Smith, Gabriel A. Pace, Jonathan Corriveau, Mark Lee, Sungho Cha, Peter I. Chatterjee, Dhananjay Gee, Erica L. Mayer, Erik N. McBride, Owen J. Roe, Allison K. Yanez, Marisa Y. Stroh, D. Alex Than, Khoi D. Riew, K. Daniel |
author_facet | Thompson, Sara E. Smith, Zachary A. Hsu, Wellington K. Nassr, Ahmad Mroz, Thomas E. Fish, David E. Wang, Jeffrey C. Fehlings, Michael G. Tannoury, Chadi A. Tannoury, Tony Tortolani, P. Justin Traynelis, Vincent C. Gokaslan, Ziya Hilibrand, Alan S. Isaacs, Robert E. Mummaneni, Praveen V. Chou, Dean Qureshi, Sheeraz A. Cho, Samuel K. Baird, Evan O. Sasso, Rick C. Arnold, Paul M. Buser, Zorica Bydon, Mohamad Clarke, Michelle J. De Giacomo, Anthony F. Derakhshan, Adeeb Jobse, Bruce Lord, Elizabeth L. Lubelski, Daniel Massicotte, Eric M. Steinmetz, Michael P. Smith, Gabriel A. Pace, Jonathan Corriveau, Mark Lee, Sungho Cha, Peter I. Chatterjee, Dhananjay Gee, Erica L. Mayer, Erik N. McBride, Owen J. Roe, Allison K. Yanez, Marisa Y. Stroh, D. Alex Than, Khoi D. Riew, K. Daniel |
author_sort | Thompson, Sara E. |
collection | PubMed |
description | STUDY DESIGN: A multicenter, retrospective review of C5 palsy after cervical spine surgery. OBJECTIVE: Postoperative C5 palsy is a known complication of cervical decompressive spinal surgery. The goal of this study was to review the incidence, patient characteristics, and outcome of C5 palsy in patients undergoing cervical spine surgery. METHODS: We conducted a multicenter, retrospective review of 13 946 patients across 21 centers who received cervical spine surgery (levels C2 to C7) between January 1, 2005, and December 31, 2011, inclusive. P values were calculated using 2-sample t test for continuous variables and χ(2) tests or Fisher exact tests for categorical variables. RESULTS: Of the 13 946 cases reviewed, 59 patients experienced a postoperative C5 palsy. The incidence rate across the 21 sites ranged from 0% to 2.5%. At most recent follow-up, 32 patients reported complete resolution of symptoms (54.2%), 15 had symptoms resolve with residual effects (25.4%), 10 patients did not recover (17.0%), and 2 were lost to follow-up (3.4%). CONCLUSION: C5 palsy occurred in all surgical approaches and across a variety of diagnoses. The majority of patients had full recovery or recovery with residual effects. This study represents the largest series of North American patients reviewed to date. |
format | Online Article Text |
id | pubmed-5400195 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-54001952017-04-27 C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases Thompson, Sara E. Smith, Zachary A. Hsu, Wellington K. Nassr, Ahmad Mroz, Thomas E. Fish, David E. Wang, Jeffrey C. Fehlings, Michael G. Tannoury, Chadi A. Tannoury, Tony Tortolani, P. Justin Traynelis, Vincent C. Gokaslan, Ziya Hilibrand, Alan S. Isaacs, Robert E. Mummaneni, Praveen V. Chou, Dean Qureshi, Sheeraz A. Cho, Samuel K. Baird, Evan O. Sasso, Rick C. Arnold, Paul M. Buser, Zorica Bydon, Mohamad Clarke, Michelle J. De Giacomo, Anthony F. Derakhshan, Adeeb Jobse, Bruce Lord, Elizabeth L. Lubelski, Daniel Massicotte, Eric M. Steinmetz, Michael P. Smith, Gabriel A. Pace, Jonathan Corriveau, Mark Lee, Sungho Cha, Peter I. Chatterjee, Dhananjay Gee, Erica L. Mayer, Erik N. McBride, Owen J. Roe, Allison K. Yanez, Marisa Y. Stroh, D. Alex Than, Khoi D. Riew, K. Daniel Global Spine J Articles STUDY DESIGN: A multicenter, retrospective review of C5 palsy after cervical spine surgery. OBJECTIVE: Postoperative C5 palsy is a known complication of cervical decompressive spinal surgery. The goal of this study was to review the incidence, patient characteristics, and outcome of C5 palsy in patients undergoing cervical spine surgery. METHODS: We conducted a multicenter, retrospective review of 13 946 patients across 21 centers who received cervical spine surgery (levels C2 to C7) between January 1, 2005, and December 31, 2011, inclusive. P values were calculated using 2-sample t test for continuous variables and χ(2) tests or Fisher exact tests for categorical variables. RESULTS: Of the 13 946 cases reviewed, 59 patients experienced a postoperative C5 palsy. The incidence rate across the 21 sites ranged from 0% to 2.5%. At most recent follow-up, 32 patients reported complete resolution of symptoms (54.2%), 15 had symptoms resolve with residual effects (25.4%), 10 patients did not recover (17.0%), and 2 were lost to follow-up (3.4%). CONCLUSION: C5 palsy occurred in all surgical approaches and across a variety of diagnoses. The majority of patients had full recovery or recovery with residual effects. This study represents the largest series of North American patients reviewed to date. SAGE Publications 2017-04-01 2017-04 /pmc/articles/PMC5400195/ /pubmed/28451494 http://dx.doi.org/10.1177/2192568216688189 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 Thompson, Sara E. Smith, Zachary A. Hsu, Wellington K. Nassr, Ahmad Mroz, Thomas E. Fish, David E. Wang, Jeffrey C. Fehlings, Michael G. Tannoury, Chadi A. Tannoury, Tony Tortolani, P. Justin Traynelis, Vincent C. Gokaslan, Ziya Hilibrand, Alan S. Isaacs, Robert E. Mummaneni, Praveen V. Chou, Dean Qureshi, Sheeraz A. Cho, Samuel K. Baird, Evan O. Sasso, Rick C. Arnold, Paul M. Buser, Zorica Bydon, Mohamad Clarke, Michelle J. De Giacomo, Anthony F. Derakhshan, Adeeb Jobse, Bruce Lord, Elizabeth L. Lubelski, Daniel Massicotte, Eric M. Steinmetz, Michael P. Smith, Gabriel A. Pace, Jonathan Corriveau, Mark Lee, Sungho Cha, Peter I. Chatterjee, Dhananjay Gee, Erica L. Mayer, Erik N. McBride, Owen J. Roe, Allison K. Yanez, Marisa Y. Stroh, D. Alex Than, Khoi D. Riew, K. Daniel C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases |
title | C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases |
title_full | C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases |
title_fullStr | C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases |
title_full_unstemmed | C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases |
title_short | C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases |
title_sort | c5 palsy after cervical spine surgery: a multicenter retrospective review of 59 cases |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400195/ https://www.ncbi.nlm.nih.gov/pubmed/28451494 http://dx.doi.org/10.1177/2192568216688189 |
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