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C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases.

Publication ,  Journal Article
Thompson, SE; Smith, ZA; Hsu, WK; Nassr, A; Mroz, TE; Fish, DE; Wang, JC; Fehlings, MG; Tannoury, CA; Tannoury, T; Tortolani, PJ; Gokaslan, Z ...
Published in: Global Spine J
April 2017

STUDY DESIGN: A multicenter, retrospective review of C5 palsy after cervical spine surgery. OBJECTIVE: Postoperative C5 palsy is a known complication of cervical decompressive spinal surgery. The goal of this study was to review the incidence, patient characteristics, and outcome of C5 palsy in patients undergoing cervical spine surgery. METHODS: We conducted a multicenter, retrospective review of 13 946 patients across 21 centers who received cervical spine surgery (levels C2 to C7) between January 1, 2005, and December 31, 2011, inclusive. P values were calculated using 2-sample t test for continuous variables and χ2 tests or Fisher exact tests for categorical variables. RESULTS: Of the 13 946 cases reviewed, 59 patients experienced a postoperative C5 palsy. The incidence rate across the 21 sites ranged from 0% to 2.5%. At most recent follow-up, 32 patients reported complete resolution of symptoms (54.2%), 15 had symptoms resolve with residual effects (25.4%), 10 patients did not recover (17.0%), and 2 were lost to follow-up (3.4%). CONCLUSION: C5 palsy occurred in all surgical approaches and across a variety of diagnoses. The majority of patients had full recovery or recovery with residual effects. This study represents the largest series of North American patients reviewed to date.

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Published In

Global Spine J

DOI

ISSN

2192-5682

Publication Date

April 2017

Volume

7

Issue

1 Suppl

Start / End Page

64S / 70S

Location

England

Related Subject Headings

  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Thompson, S. E., Smith, Z. A., Hsu, W. K., Nassr, A., Mroz, T. E., Fish, D. E., … Riew, K. D. (2017). C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases. Global Spine J, 7(1 Suppl), 64S-70S. https://doi.org/10.1177/2192568216688189
Thompson, Sara E., Zachary A. Smith, Wellington K. Hsu, Ahmad Nassr, Thomas E. Mroz, David E. Fish, Jeffrey C. Wang, et al. “C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases.Global Spine J 7, no. 1 Suppl (April 2017): 64S-70S. https://doi.org/10.1177/2192568216688189.
Thompson SE, Smith ZA, Hsu WK, Nassr A, Mroz TE, Fish DE, et al. C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases. Global Spine J. 2017 Apr;7(1 Suppl):64S-70S.
Thompson, Sara E., et al. “C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases.Global Spine J, vol. 7, no. 1 Suppl, Apr. 2017, pp. 64S-70S. Pubmed, doi:10.1177/2192568216688189.
Thompson SE, Smith ZA, Hsu WK, Nassr A, Mroz TE, Fish DE, Wang JC, Fehlings MG, Tannoury CA, Tannoury T, Tortolani PJ, Traynelis VC, Gokaslan Z, Hilibrand AS, Isaacs RE, Mummaneni PV, Chou D, Qureshi SA, Cho SK, Baird EO, Sasso RC, Arnold PM, Buser Z, Bydon M, Clarke MJ, De Giacomo AF, Derakhshan A, Jobse B, Lord EL, Lubelski D, Massicotte EM, Steinmetz MP, Smith GA, Pace J, Corriveau M, Lee S, Cha PI, Chatterjee D, Gee EL, Mayer EN, McBride OJ, Roe AK, Yanez MY, Stroh DA, Than KD, Riew KD. C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases. Global Spine J. 2017 Apr;7(1 Suppl):64S-70S.
Journal cover image

Published In

Global Spine J

DOI

ISSN

2192-5682

Publication Date

April 2017

Volume

7

Issue

1 Suppl

Start / End Page

64S / 70S

Location

England

Related Subject Headings

  • 3202 Clinical sciences