前路颈椎间盘切除融合术中的膈神经麻痹：极为罕见。
Phrenic Nerve Palsy in Anterior Cervical Discectomy and Fusion: Rare as Hen's Teeth.
作者信息
Gupta Aditya, Dhawan Ira, Singh Aakashdeep, Kumar Vishal, Dhatt Sarvdeep Singh
机构信息
Department of Orthopaedics, PGIMER, Chandigarh, India.
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh, India.
出版信息
J Orthop Case Rep. 2025 May;15(5):80-84. doi: 10.13107/jocr.2025.v15.i05.5564.
INTRODUCTION
Phrenic nerve palsy is a rare but potentially serious complication. The clinical presentation can vary from being asymptomatic to severe respiratory distress requiring mechanical complication. In the Anglophone literature, there is only a single case report of bilateral phrenic nerve injury as a complication following anterior cervical discectomy and fusion (ACDF).
CASE REPORT
This case report describes a 52-year-old female who developed right-sided phrenic nerve palsy after undergoing ACDF for cervical spine trauma. The patient had respiratory distress immediately after surgery and Ultrasonography and X-rays revealed Rt phrenic nerve palsy. To the best of our knowledge, this is the first case of unilateral phrenic nerve palsy after ACDF at the C5-C6 level.
CONCLUSION
Unilateral phrenic nerve palsy probably occurred as a complication of ACDF for cervical spine trauma. Phrenic nerve palsy should be kept in mind as a serious complication of spinal surgery.
引言
膈神经麻痹是一种罕见但可能严重的并发症。临床表现差异很大，从无症状到需要机械通气的严重呼吸窘迫。在英语文献中，仅有一例双侧膈神经损伤作为颈椎前路椎间盘切除融合术（ACDF）后并发症的病例报告。
病例报告
本病例报告描述了一名52岁女性，因颈椎创伤接受ACDF后发生右侧膈神经麻痹。患者术后立即出现呼吸窘迫，超声和X线检查显示右侧膈神经麻痹。据我们所知，这是C5-C6节段ACDF术后单侧膈神经麻痹的首例病例。
结论
单侧膈神经麻痹可能是颈椎创伤ACDF术后的并发症。膈神经麻痹应作为脊柱手术的严重并发症予以重视。
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