Complications Associated with Anterior Cervical Disectomy and Fusion in Elderly

초록

Objective The goal of our study is to find out complications associated with anterior cervical discectomy and fusion (ACDF) in elderly, and consider it’s preventions. Methods In a retrospective study, 138 patients (78 males and 60 females) who underwent anterior approach cervical operation were evaluated. The patients’ age ranged between 60 and 78 years (mean, 68.1 years). Operative reports, hospital and outpatient clinic charts, and radiographic studies were reviewed for procedure-related complications. Mean follow-up period was 9.3 months. Results The mortality rate in our current series was 0%. Overall morbidity rate was 6.5% (9 of 138 patients). The most common complication was the development of hardware failure, which observed in 5.1% of our patients. Postoperative hematoma occurred in 0.7%, who required surgical intervention. Symptomatic recurrent laryngeal nerve palsy occurred in 1.4%. Wound infection occurred in 0.7%. Conclusion Postoperative hardware failure was the most common complication in our series. There are numerous osteoporotic patients in elderly, so this was suspected as a major factor of these results. We should be aware of hardware failure, high risk complication, when we operate ACDF in elderly.

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