Neurologic complications of surgery for cervical compression myelopathy.

摘要: Neurologic complications resulting from surgery for 384 cases of cervical myelopathy (cervical soft disc herniation, spondylosis, ossification the posterior longitudinal ligament) were reviewed. Surgical procedures performed included 134 anterior interbody fusions (Cloward or Robinson-Smith technique), 70 subtotal corpectomies with strut bone graft, 85 laminectomies, and 95 laminoplasties. Twenty-one patients (5.5%) sustained neurologic deterioration related to surgery. The was classified into two types on basis signs observed: spinal cord function nerve root function. Manifestations former varied weakness hand tetraparesis. Paralysis deltoid biceps brachii muscles an exclusive feature in group. Causes this paralysis malalignment spine graft complications, a tethering effect following major shifting after decompression. causes injury during surgery, associated complication, epidural hematoma.