Radiographic Measures of Spinal Alignment Are Not Predictive of the Development of C5 Palsy Following Anterior Cervical Discectomy and Fusion Surgery

• DOI: 10.14444/8029
• Publication Date: 2021-04-01T18:44:55Z
• Authors: Andrew M. Sinensky; Ian D. Kaye; William T. Li; Scott C. Wagner; Joseph S. Butler; Arjun S. Sebastian; Patrick B. Morrissey; Gregory D. Schroeder; Christopher Kepler; Alexander R. Vaccaro; Alan S. Hilibrand
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

<h3>ABSTRACT</h3> <h3>Background:</h3> Postoperative C5 palsy is a common complication following cervical decompression, occurring more frequently after posterior-based procedures. It has been theorized that this the result of nerve stretch resulting from spinal cord drift with these As such, it thought to be less anterior decompression and fusion (ACDF). However, no consensus reached on its true etiology. The purpose study assess rate ACDF determine whether any radiographic or demographic parameters were predictive development. <h3>Methods:</h3> Two hundred twenty-six patients who received between September 2015 2016 reviewed, 122 included in final analysis. Patient demographic, surgical, data analyzed, including preoperative postoperative motor examination results. Mann-Whitney <i>U</i> test was used compare continuous variables independent groups, Fisher9s exact categorical groups. <h3>Results:</h3> Seven developed period, an incidence 5.7%. Among evaluated, there statistically significant differences nonpalsy Additionally, age, patient sex, numbers vertebral levels fused <h3>Conclusions:</h3> Ultimately, we did not identify factors for development surgery. <h3>Level Evidence:</h3> 3.