颈椎前路减压融合术后双侧C5运动性麻痹：一例报告并文献复习
Bilateral C5 Motor Palsy after Anterior Cervical Decompression and Fusion: A Case Report and Review of the Literature.
作者信息
Andelman Steven M, McAnany Steven J, Qureshi Sheeraz A, Hecht Andrew C
机构信息
Mount Sinai Icahn School of Medicine Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY.
Washington University Department of Orthopaedic Surgery, St. Louis, MO.
出版信息
Int J Spine Surg. 2017 May 1;11(2):14. doi: 10.14444/4014. eCollection 2017.
BACKGROUND
Bilateral C5 motor palsy is a rare but potentially debilitating complication after cervical spine decompression with very few reports in the published literature.
PURPOSE
To present a case of bilateral C5 motor palsy after anterior cervical decompression and fusion and discuss the incidence and risk factors of this complication.
STUDY DESIGN/SETTING: We report a case of a 57-year-old male who underwent a three level C3-C6 anterior cervical discectomy and fusion with instrumentation who developed a postoperative bilateral C5 motor palsy.
METHODS
A review of the literature was performed regarding reports on and incidence of post-operative bilateral C5 palsy following either anterior or posterior cervical spine decompression.
RESULTS
Bilateral C5 motor palsy is a rare complication of cervical spine decompression with an overall incidence of 0.38%. Although a group of risk factors have been suggested no single cause has been identified.
CONCLUSIONS
Bilateral C5 motor palsy is a rare but debilitating complication of cervical decompression.
背景
双侧C5运动性麻痹是颈椎减压术后一种罕见但可能使人衰弱的并发症，在已发表的文献中报道极少。
目的
介绍1例颈椎前路减压融合术后发生双侧C5运动性麻痹的病例，并探讨该并发症的发生率及危险因素。
研究设计/研究背景：我们报告1例57岁男性患者，该患者接受了C3 - C6三节段颈椎前路椎间盘切除融合内固定手术，术后出现双侧C5运动性麻痹。
方法
对有关颈椎前路或后路减压术后双侧C5麻痹的报道及发生率进行文献回顾。
结果
双侧C5运动性麻痹是颈椎减压术的一种罕见并发症，总发生率为0.38%。尽管已提出一组危险因素，但尚未确定单一病因。
结论
双侧C5运动性麻痹是颈椎减压术一种罕见但使人衰弱的并发症。
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