Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review
The purpose of this paper was to inform the reader that prolonged upper airway obstruction after posterior cervical spine surgery is a possible complication for patients with metastatic tumor of upper cervical spine. A 49-year-old man presented severe neck pain during posture changes due to metastat...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.4061/2011/791923 |
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| _version_ | 1832565614573518848 |
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| author | Masahiro Morita Masuhiro Nobuta Hirotsune Naruse Hiroaki Nakamura |
| author_facet | Masahiro Morita Masuhiro Nobuta Hirotsune Naruse Hiroaki Nakamura |
| author_sort | Masahiro Morita |
| collection | DOAJ |
| description | The purpose of this paper was to inform the reader that prolonged upper airway obstruction after posterior cervical spine surgery is a possible complication for patients with metastatic tumor of upper cervical spine. A 49-year-old man presented severe neck pain during posture changes due to metastatic spinal tumor of C2. Occipitocervical fusion following removal of the posterior arch of C1 and laminectomy of C2 via the single posterior approach was performed 2 weeks after radiation therapy. After the surgery, life-threatening airway obstruction due to pharyngeal oedema occurred immediately after extubation that required emergency tracheostomy. The airway obstruction did not improve well during the patient's postoperative course. Once pharyngeal oedema occurs in patients with metastatic tumor of upper cervical spine who undergo posterior cervical spine surgery following radiation therapy to the neck, the pharyngeal oedema may be constant for a long period of time. |
| format | Article |
| id | doaj-art-de0156428d0d49e88e57f47a98393f62 |
| institution | Kabale University |
| issn | 2090-3472 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-de0156428d0d49e88e57f47a98393f622025-02-03T01:07:20ZengWileyAdvances in Orthopedics2090-34722011-01-01201110.4061/2011/791923791923Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature ReviewMasahiro Morita0Masuhiro Nobuta1Hirotsune Naruse2Hiroaki Nakamura3Department of Orthopaedic Surgery, Izumi Municipal Hospital, 4-10-10 Fuchu Izumi City, Osaka 594-0071, JapanDepartment of Orthopaedic Surgery, Izumi Municipal Hospital, 4-10-10 Fuchu Izumi City, Osaka 594-0071, JapanDepartment of Neurosurgery, Izumi Municipal Hospital, 4-10-10 Fuchu Izumi City, Osaka 594-0071, JapanDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, 1-5-7 Asahi Abeno, Osaka 545-0051, JapanThe purpose of this paper was to inform the reader that prolonged upper airway obstruction after posterior cervical spine surgery is a possible complication for patients with metastatic tumor of upper cervical spine. A 49-year-old man presented severe neck pain during posture changes due to metastatic spinal tumor of C2. Occipitocervical fusion following removal of the posterior arch of C1 and laminectomy of C2 via the single posterior approach was performed 2 weeks after radiation therapy. After the surgery, life-threatening airway obstruction due to pharyngeal oedema occurred immediately after extubation that required emergency tracheostomy. The airway obstruction did not improve well during the patient's postoperative course. Once pharyngeal oedema occurs in patients with metastatic tumor of upper cervical spine who undergo posterior cervical spine surgery following radiation therapy to the neck, the pharyngeal oedema may be constant for a long period of time.http://dx.doi.org/10.4061/2011/791923 |
| spellingShingle | Masahiro Morita Masuhiro Nobuta Hirotsune Naruse Hiroaki Nakamura Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review Advances in Orthopedics |
| title | Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review |
| title_full | Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review |
| title_fullStr | Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review |
| title_full_unstemmed | Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review |
| title_short | Prolonged Airway Obstruction after Posterior Occipitocervical Fusion: A Case Report and Literature Review |
| title_sort | prolonged airway obstruction after posterior occipitocervical fusion a case report and literature review |
| url | http://dx.doi.org/10.4061/2011/791923 |
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