The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions

Background Data: Surgical exposure of the upper cervical spine is considered difficult due to the presence of essential and vital nearby structures. Anterior retropharyngeal approach provides direct and wide exposure to treat different lesions in the upper cervical spine. These lesions usually assoc...

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Autores principales:	Ahmed El-Kholy, Ebrahim Shamhoot
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2015
Materias:	anterior retropharyngeal approach posterior cranio-cervical fixation Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/33a15ec4d7e940d480ff118feac1a799
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spelling	oai:doaj.org-article:33a15ec4d7e940d480ff118feac1a7992021-12-02T00:13:26ZThe Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical LesionsDOI:10.21608/ESJ.2015.39522314-89502314-8969https://doaj.org/article/33a15ec4d7e940d480ff118feac1a7992015-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3952.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Surgical exposure of the upper cervical spine is considered difficult due to the presence of essential and vital nearby structures. Anterior retropharyngeal approach provides direct and wide exposure to treat different lesions in the upper cervical spine. These lesions usually associated with instability and posterior fixation is commonly used to treat this type of instability. Purpose: To evaluate the role of combined anterior retropharyngeal approach and posterior Fixation in treatment of upper cervical lesions. Study Design: A retrospective clinical case series Patients and Methods: This study included 10 patients with C2 neoplasm in 4 patients and spinal infection in 6 patients. Nurick's scale and neck disability index were used to evaluate the functional outcome among our patients. All patients were surgically treated using combined anterior retropharyngeal approach and posterior fixation in the same operation. Results: By using anterior retropharyngeal approach, open biopsy was performed in 4 patients and 6 patients operated for drainage of the retropharyngeal abscess with debridement and decompression. All patients were operated using posterior fixation in the same anesthesia including cranio-cervical fixation in 6 cases and posterior cervical fixation for C1-C4 in 4 cases by using screws-rod system). During our period of follow up the functional state of all patients was improved, there were only two patients with transient dysphagia. A solid fusion was achieved in all cases. Conclusion: The anterior retropharyngeal approach is feasible and effective in surgical exposure and treatment of upper cervical lesions. Anterior decompression and posterior fixation can be done successfully and safely by using a combined anterior retropharyngeal-posterior approach in the same anesthesia. (2015ESJ090) Ahmed El-Kholy Ebrahim ShamhootEgyptian Spine Associationarticleanterior retropharyngeal approachposterior cranio-cervical fixationNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 14, Iss 1, Pp 15-23 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	anterior retropharyngeal approach posterior cranio-cervical fixation Neurology. Diseases of the nervous system RC346-429
spellingShingle	anterior retropharyngeal approach posterior cranio-cervical fixation Neurology. Diseases of the nervous system RC346-429 Ahmed El-Kholy Ebrahim Shamhoot The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions
description	Background Data: Surgical exposure of the upper cervical spine is considered difficult due to the presence of essential and vital nearby structures. Anterior retropharyngeal approach provides direct and wide exposure to treat different lesions in the upper cervical spine. These lesions usually associated with instability and posterior fixation is commonly used to treat this type of instability. Purpose: To evaluate the role of combined anterior retropharyngeal approach and posterior Fixation in treatment of upper cervical lesions. Study Design: A retrospective clinical case series Patients and Methods: This study included 10 patients with C2 neoplasm in 4 patients and spinal infection in 6 patients. Nurick's scale and neck disability index were used to evaluate the functional outcome among our patients. All patients were surgically treated using combined anterior retropharyngeal approach and posterior fixation in the same operation. Results: By using anterior retropharyngeal approach, open biopsy was performed in 4 patients and 6 patients operated for drainage of the retropharyngeal abscess with debridement and decompression. All patients were operated using posterior fixation in the same anesthesia including cranio-cervical fixation in 6 cases and posterior cervical fixation for C1-C4 in 4 cases by using screws-rod system). During our period of follow up the functional state of all patients was improved, there were only two patients with transient dysphagia. A solid fusion was achieved in all cases. Conclusion: The anterior retropharyngeal approach is feasible and effective in surgical exposure and treatment of upper cervical lesions. Anterior decompression and posterior fixation can be done successfully and safely by using a combined anterior retropharyngeal-posterior approach in the same anesthesia. (2015ESJ090)
format	article
author	Ahmed El-Kholy Ebrahim Shamhoot
author_facet	Ahmed El-Kholy Ebrahim Shamhoot
author_sort	Ahmed El-Kholy
title	The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions
title_short	The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions
title_full	The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions
title_fullStr	The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions
title_full_unstemmed	The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions
title_sort	role of combined anterior retropharyngeal approach and posterior fixation in surgical treatment of upper cervical lesions
publisher	Egyptian Spine Association
publishDate	2015
url	https://doaj.org/article/33a15ec4d7e940d480ff118feac1a799
work_keys_str_mv	AT ahmedelkholy theroleofcombinedanteriorretropharyngealapproachandposteriorfixationinsurgicaltreatmentofuppercervicallesions AT ebrahimshamhoot theroleofcombinedanteriorretropharyngealapproachandposteriorfixationinsurgicaltreatmentofuppercervicallesions AT ahmedelkholy roleofcombinedanteriorretropharyngealapproachandposteriorfixationinsurgicaltreatmentofuppercervicallesions AT ebrahimshamhoot roleofcombinedanteriorretropharyngealapproachandposteriorfixationinsurgicaltreatmentofuppercervicallesions
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The Role of Combined Anterior Retropharyngeal Approach and Posterior Fixation in Surgical Treatment of Upper Cervical Lesions

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