Description

Rogerson et al reported predictors for complications following anterior cervical diskectomy. A patient with one or more of the risk factors may benefit from interventions to reduce the risk of complications. The authors are from Tufts Medical Center and Newton Wellesley Hospital in Boston.


Patient selection: 1 or 2 level anterior cervical diskectomy and fusion (ACDF)

 

The risk of any medical complication was about 3%.

 

Complications:

(1) mortality

(2) airway complications

(3) neurologic complications

(4) surgical site infection (SSI)

 

Risk Factors

Mortality

Airway

Neurologic

SSI

chronic kidney disease

yes

 

 

 

> 65 years

 

yes

 

 

male sex

 

yes

 

 

myelopathy

 

yes

yes

 

diabetes

 

yes

 

 

anemia

 

yes

 

yes

bleeding

 

yes

 

 

COPD

 

yes

 

 

obstructive sleep apnea

 

yes

 

 

obesity

 

yes

 

 

 


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