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

Authors

• Sara E Thompson
• Zachary A Smith
• Wellington K Hsu
• Ahmad Nassr
• Thomas E Mroz
• David E Fish
• Jeffrey C Wang
• Michael G Fehlings
• Chadi A Tannoury
• Tony Tannoury
• P Justin Tortolani
• Vincent C Traynelis
• Ziya Gokaslan
• Alan S Hilibrand
• Robert E Isaacs
• Praveen V Mummaneni
• Dean Chou
• Sheeraz A Qureshi
• Samuel K Cho
• Evan O Baird
• Rick C Sasso
• Paul M Arnold
• Zorica Buser
• Mohamad Bydon
• Michelle J Clarke
• Anthony F De Giacomo
• Adeeb Derakhshan
• Bruce Jobse
• Elizabeth L Lord
• Daniel Lubelski
• Eric M Massicotte
• Michael P Steinmetz
• Gabriel A Smith
• Jonathan Pace
• Mark Corriveau
• Sungho Lee
• Peter I Cha
• Dhananjay Chatterjee
• Erica L Gee
• Erik N Mayer
• Owen J McBride
• Allison K Roe
• Marisa Y Yanez
• D Alex Stroh
• Khoi D Than
• K Daniel Riew

Publication/Presentation Date

4-1-2017

Abstract

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.

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.

Volume

7

Issue

1 Suppl

First Page

64

Last Page

64

ISSN

2192-5682

Published In/Presented At

Thompson, S. E., Smith, Z. A., Hsu, W. K., Nassr, A., Mroz, T. E., Fish, D. E., Wang, J. C., Fehlings, M. G., Tannoury, C. A., Tannoury, T., Tortolani, P. J., Traynelis, V. C., Gokaslan, Z., Hilibrand, A. S., Isaacs, R. E., Mummaneni, P. V., Chou, D., Qureshi, S. A., Cho, S. K., Baird, E. O., … Riew, K. D. (2017). C5 Palsy After Cervical Spine Surgery: A Multicenter Retrospective Review of 59 Cases. Global spine journal, 7(1 Suppl), 64S–70S. https://doi.org/10.1177/2192568216688189

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

28451494

Department(s)

Administration and Leadership

Document Type

Article