Phrenic nerve palsy after cervical laminectomy and fusion
| Autor: | Jason L. Pittman, Andrew S. Moon, Jeffrey M. Pearson |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Posterior approach
Orthopedic surgery medicine.medical_specialty Phrenic nerve palsy Phrenic Nerve Palsy Respiratory distress business.industry Deltoid curve Diaphragmatic paralysis medicine.disease musculoskeletal system Surgery Stenosis Myelopathy Dyspnea Cervical laminectomy Cervical spine Medicine Neurology. Diseases of the nervous system Complication business RC346-429 RD701-811 |
| Zdroj: | North American Spine Society Journal, Vol 4, Iss, Pp 100022-(2020) |
| ISSN: | 2666-5484 |
| Popis: | Background Phrenic nerve palsy is a rare complication of cervical spine surgery. There are no previously reported cases of unilateral diaphragmatic paralysis following posterior cervical spine surgery. Here, we present a case of a 69 year-old Caucasian male with severe cervical stenosis with myelopathy who underwent posterior spinal instrumentation and fusion (PSIF) from C2 to T2, with laminectomies at C3-C7. Outcome The patient developed respiratory distress post-operatively and was found to have an elevated hemidiaphragm secondary to phrenic nerve palsy. He was treated with respiratory support, with significant improvement in dyspnea. He was also noted to have a left C5 palsy affecting his deltoid function and proximal upper extremity sensation which gradually improved. Conclusions This is the first reported case of unilateral diaphragmatic paralysis causing dyspnea due to phrenic nerve palsy following cervical spine surgery. This rare complication should be kept in mind when assessing any patient with respiratory distress following cervical spine surgery. |
| Databáze: | OpenAIRE |
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