A microsurgical anterior cervical approach and the immediate impact of mechanical retractors: A case control study.

摘要: Introduction: A microsurgical anterior cervical approach with discectomy and fusion (MACDF) is one of the most widely used procedures for treating radicular disorders. This highly successful; however, it not free from complications. These can be associated soft tissue injuries. Aim Study: The recognition risks these complications should identified timely prevention safe treatment. Materials Methods: Study Design: Retrospective case control study. study includes a retrospective series 37 patients, paying special attention to immediate related use mechanical retraction (dysphagia, dysphonia, esophageal lesions local hematoma); comparative analysis outcomes after changes in method. Results: All selected cases had positive neurological symptom response relation neuropathic pain. Dysphagia dysphonia were found during first 72 h 94.1% which automatic was more than hour surgical procedure. radical change noted reduction symptoms only manual protective blades without retraction: 5.1% dysphagia 0% post-operative period, P = 0.001. Conclusions: Soft damage due retractors MACDF minor leads general discomfort patient spite good results. problems often occur when are continuously 1 hour, as well they multiple levels. Dysphagia, pain decreased transient retraction, intermittent release following minimally invasive principles.