What have we learned from C5 palsy - A short communication

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Sharath Kumar Anand, Mohamed Macki

Abstract

A study group on C5 palsy retrospectively reviewed 1001 cervical operations at their institutions in order to understand the incidence, prognosticators, pathogenesis, and outcome of C5 palsy after cervical operations. Three studies are summarized. C5 palsy was higher after posterior versus anterior operations. C4-C5 foraminotomy and age were the strongest predictors of C5 palsy after posterior surgeries and anterior cervical decompression-fusion, respectively. Among patients undergoing C4-C5 posterior laminoforaminotomy with instrumented fusion, cord shift on postoperative imaging was thought to be implicated in the pathogenesis of C5 palsy. Among affected patients, 81.4% recovered. Median time to resolution of C5 palsy was between 6 months to 1 year.

References

Apr 8, 2014·The Spine Journal : Official Journal of the North American Spine Society·Mohamad BydonAli Bydon
Nov 26, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Mohamed MackiMohamad Bydon

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