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Greater complication rates seen with anterior-posterior surgical approach in patients with ACD
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Compared with patients who underwent surgery with an anterior-only approach, investigators of this study found patients who underwent surgery for adult cervical deformity with either a posterior-only or combination of the anterior and posterior approach had significantly greater complications rates.
In their prospective, multicenter database, investigators identified 78 patients who underwent surgery for adult cervical deformity either through an anterior-only approach, posterior-only approach or anterior-posterior approach. Investigators used physical examinations and questions to assess patients for early complications (≤ 30 days following surgery).
Findings showed 52 early complications, with 26 minor complications and 26 major complications. Investigators noted 22 patients with at least one minor complication, whereas 19 patients had at least one major complication.
According to researchers, dysphagia, deep wound infection, new C5 motor deficit and respiratory failure were among the most common complications following surgery. One death occurred. There was a 27.3% early complication rate seen with the anterior-only approach, a 68.4% rate with the posterior-only approach and a 79.3% rate with the anterior-posterior approach. ‒ by Monica Jaramillo
Disclosures: Smith reports he receives a grant from the Robert Wood Johnson Foundation, personal fees from Arbometrix and royalties from Wolters Kluwer. Please see the full study for a list of all other authors’ relevant financial disclosures.
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