The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions
Background Data: Surgical exposure of the upper cervical spine is considered difficult due to the presence of essential and vital nearby structures. Anterior retropharyngeal approach provides direct and wide exposure to treat different lesions in the upper cervical spine. These lesions usually assoc...
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| Format: | Article |
| Language: | English |
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Egyptian Spine Association
2015-04-01
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| Series: | Egyptian Spine Journal |
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| Online Access: | http://www.esj.journals.ekb.eg/article_3952.html |
| _version_ | 1818367207642497024 |
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| author | Ahmed El-Kholy Ebrahim Shamhoot |
| author_facet | Ahmed El-Kholy Ebrahim Shamhoot |
| author_sort | Ahmed El-Kholy |
| collection | DOAJ |
| description | Background Data: Surgical exposure of the upper cervical spine is considered difficult due to the presence of essential and vital nearby structures. Anterior retropharyngeal approach provides direct and wide exposure to treat different lesions in the upper cervical spine. These lesions usually associated with instability and posterior fixation is commonly used to treat this type of instability. Purpose: To evaluate the role of combined anterior retropharyngeal approach and posterior Fixation in treatment of upper cervical lesions. Study Design: A retrospective clinical case series Patients and Methods: This study included 10 patients with C2 neoplasm in 4 patients and spinal infection in 6 patients. Nurick's scale and neck disability index were used to evaluate the functional outcome among our patients. All patients were surgically treated using combined anterior retropharyngeal approach and posterior fixation in the same operation. Results: By using anterior retropharyngeal approach, open biopsy was performed in 4 patients and 6 patients operated for drainage of the retropharyngeal abscess with debridement and decompression. All patients were operated using posterior fixation in the same anesthesia including cranio-cervical fixation in 6 cases and posterior cervical fixation for C1-C4 in 4 cases by using screws-rod system). During our period of follow up the functional state of all patients was improved, there were
only two patients with transient dysphagia. A solid fusion was achieved in all cases. Conclusion: The anterior retropharyngeal approach is feasible and effective in surgical exposure and treatment of upper cervical lesions. Anterior decompression and posterior fixation can be done successfully and safely by using a combined anterior retropharyngeal-posterior approach in the same anesthesia. (2015ESJ090) |
| first_indexed | 2024-12-13T22:48:23Z |
| format | Article |
| id | doaj.art-33a15ec4d7e940d480ff118feac1a799 |
| institution | Directory Open Access Journal |
| issn | 2314-8950 2314-8969 |
| language | English |
| last_indexed | 2024-12-13T22:48:23Z |
| publishDate | 2015-04-01 |
| publisher | Egyptian Spine Association |
| record_format | Article |
| series | Egyptian Spine Journal |
| spelling | doaj.art-33a15ec4d7e940d480ff118feac1a7992022-12-21T23:28:40ZengEgyptian Spine AssociationEgyptian Spine Journal2314-89502314-89692015-04-011411523DOI:10.21608/ESJ.2015.3952The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical LesionsAhmed El-Kholy0 Ebrahim Shamhoot1Neurosurgery Department, Tanta University, Tanta, Egypt.Neurosurgery Department, Tanta University, Tanta, Egypt.Background Data: Surgical exposure of the upper cervical spine is considered difficult due to the presence of essential and vital nearby structures. Anterior retropharyngeal approach provides direct and wide exposure to treat different lesions in the upper cervical spine. These lesions usually associated with instability and posterior fixation is commonly used to treat this type of instability. Purpose: To evaluate the role of combined anterior retropharyngeal approach and posterior Fixation in treatment of upper cervical lesions. Study Design: A retrospective clinical case series Patients and Methods: This study included 10 patients with C2 neoplasm in 4 patients and spinal infection in 6 patients. Nurick's scale and neck disability index were used to evaluate the functional outcome among our patients. All patients were surgically treated using combined anterior retropharyngeal approach and posterior fixation in the same operation. Results: By using anterior retropharyngeal approach, open biopsy was performed in 4 patients and 6 patients operated for drainage of the retropharyngeal abscess with debridement and decompression. All patients were operated using posterior fixation in the same anesthesia including cranio-cervical fixation in 6 cases and posterior cervical fixation for C1-C4 in 4 cases by using screws-rod system). During our period of follow up the functional state of all patients was improved, there were only two patients with transient dysphagia. A solid fusion was achieved in all cases. Conclusion: The anterior retropharyngeal approach is feasible and effective in surgical exposure and treatment of upper cervical lesions. Anterior decompression and posterior fixation can be done successfully and safely by using a combined anterior retropharyngeal-posterior approach in the same anesthesia. (2015ESJ090)http://www.esj.journals.ekb.eg/article_3952.htmlanterior retropharyngeal approachposterior cranio-cervical fixation |
| spellingShingle | Ahmed El-Kholy Ebrahim Shamhoot The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions Egyptian Spine Journal anterior retropharyngeal approach posterior cranio-cervical fixation |
| title | The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions |
| title_full | The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions |
| title_fullStr | The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions |
| title_full_unstemmed | The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions |
| title_short | The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions |
| title_sort | role of combined anterior retropharyngeal approach and posterior fixation in surgical treatment of upper cervical lesions |
| topic | anterior retropharyngeal approach posterior cranio-cervical fixation |
| url | http://www.esj.journals.ekb.eg/article_3952.html |
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