Revision surgery for failed cervical spine reconstruction: review article

HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery
John D KoernerTodd J Albert

Abstract

As the number of cervical spine procedures performed continues to increase, the need for revision surgery is also likely to increase. Surgeons need to understand the etiology of post-surgical changes, as well as have a treatment algorithm when evaluating these complex patients. This study aims to review the rates and etiology of revision cervical spine surgery as well as describe our treatment algorithm. We used a narrative and literature review. We performed a MEDLINE (PubMed) search for "cervical" and "spine" and "revision" which returned 353 articles from 1993 through January 22, 2014. Abstracts were analyzed for relevance and 32 articles were reviewed. The rates of revision surgery on the cervical spine vary by the type and extent of procedure performed. Patient evaluation should include a detailed history and review of the indication for the index procedure, as well as lab work to rule out infection. Imaging studies including flexion/extension radiographs and computed tomography are obtained to evaluate potential pseudarthrosis. Magnetic resonance imaging is helpful to evaluate the disc, neural elements, soft tissue, and to differentiate scar from infection. Sagittal alignment should be corrected if necessary. Recurrent or...Continue Reading

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Citations

Sep 30, 2020·Global Spine Journal·Conor N O'NeillJonathan J Carmouche
Jan 7, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Luca PapaveroGregor Schmeiser
Oct 7, 2020·Neurospine·Darryl Lau, Christopher P Ames

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