الفهرس | Only 14 pages are availabe for public view |
Abstract Anterior cervical discectomy and fusion is a well established surgical procedure which was firstly described by Smith, Robinson and Cloward in 1958 with further modifications to the approach furtheron. In spite of the good outcome of ACDF in general, some variable range of complications may occur in rare cases including dysphagia (2-67%), dysphonia either due to excessive retraction or by direct injury of SLN or RLN, postoperative haematoma which can be life threatening if not managed immediately, developing neurological deficit postoperatively (0.2%), carotid sheath injury, chylous injury, esophageal injury, Horner’s syndrome secondary to sympathetic injury, and finally CSF leak secondary to unnoticed dural tears intraoperatively. Meticulous knowledge of all potential procedure-associated and postoperative complications is of great importance for early recognition, and proper management. Moreover, identification of any complication-predisposing factors can help avoiding such complications, and minimize their overall clinical effect. This study aims at evaluation of incidence of early postoperative complications after ACDF surgeries using stand alone cages done during period from January 2011 to December 2019 in the spine unit, El-Hadara university hospital. According to our results we encountered 3 cases of dural tears with no postoperative leakage, 1 case of postoperative haematoma which was immediately managed with no further consequences, one case of dysphonia which improved on medical treatment, one case of neurological deficit which improved partially on steroids and physiotherapy, 109 cases of transient postoperative dysphagia which improved completely after few days |