PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACH
ABSTRACT Objective: To determine the correlation between morbidity/mortality and the pre-surgical protocol in patients undergoing anterior cervical surgical approach. Methods: Retrospective, cross-sectional and descriptive study, in which 114 patients who underwent anterior cervical surgical approach were reviewed, divided into two groups: “Group A” Conventional Presurgical Protocol (CPP) and “Group B” Extended Presurgical Protocol (EPP). Statistical analysis used the IBM SPSS Statistics Base v.24 software. Results: We evaluated 114 patients, 35 from “Group A”, 79 from “Group B”, 83 (72.8%) with cervical myelopathy, 30 (26.3%) with cervicobrachialgia. “Group A” had 10 cases of respiratory failure, with 5 secondary to bronchial secretion, 2 secondary to cervical hematoma. “Group B” had 12 cases of respiratory failure, 3 secondary to bronchial secretion and 1 secondary to cervical hematoma. Conclusions: The extended presurgical protocol can be the answer to reduce complications by improving selection parameters of the candidate patient for a surgical procedure of the cervical spine. Level of Evidence III; Case-control studyg.
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Sociedade Brasileira de Coluna
2018
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oai:scielo:S1808-185120180002000902018-08-10PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACHLuna,Luis MuñizVillarreal,Edgar GarcíaVillazón,Fernando GuevaraSalgado,Yadira BahenaValerio,Mario Alonso Ciénega Spinal cord compression Myelopathy Spirometry Respiratory insufficiency ABSTRACT Objective: To determine the correlation between morbidity/mortality and the pre-surgical protocol in patients undergoing anterior cervical surgical approach. Methods: Retrospective, cross-sectional and descriptive study, in which 114 patients who underwent anterior cervical surgical approach were reviewed, divided into two groups: “Group A” Conventional Presurgical Protocol (CPP) and “Group B” Extended Presurgical Protocol (EPP). Statistical analysis used the IBM SPSS Statistics Base v.24 software. Results: We evaluated 114 patients, 35 from “Group A”, 79 from “Group B”, 83 (72.8%) with cervical myelopathy, 30 (26.3%) with cervicobrachialgia. “Group A” had 10 cases of respiratory failure, with 5 secondary to bronchial secretion, 2 secondary to cervical hematoma. “Group B” had 12 cases of respiratory failure, 3 secondary to bronchial secretion and 1 secondary to cervical hematoma. Conclusions: The extended presurgical protocol can be the answer to reduce complications by improving selection parameters of the candidate patient for a surgical procedure of the cervical spine. Level of Evidence III; Case-control studyg.info:eu-repo/semantics/openAccessSociedade Brasileira de ColunaColuna/Columna v.17 n.2 20182018-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200090en10.1590/s1808-185120181702190989 |
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Luna,Luis Muñiz Villarreal,Edgar García Villazón,Fernando Guevara Salgado,Yadira Bahena Valerio,Mario Alonso Ciénega |
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Luna,Luis Muñiz Villarreal,Edgar García Villazón,Fernando Guevara Salgado,Yadira Bahena Valerio,Mario Alonso Ciénega PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACH |
author_facet |
Luna,Luis Muñiz Villarreal,Edgar García Villazón,Fernando Guevara Salgado,Yadira Bahena Valerio,Mario Alonso Ciénega |
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Luna,Luis Muñiz |
title |
PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACH |
title_short |
PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACH |
title_full |
PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACH |
title_fullStr |
PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACH |
title_full_unstemmed |
PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACH |
title_sort |
preoperative protocol and morbimortality in cervical surgery with anterior approach |
description |
ABSTRACT Objective: To determine the correlation between morbidity/mortality and the pre-surgical protocol in patients undergoing anterior cervical surgical approach. Methods: Retrospective, cross-sectional and descriptive study, in which 114 patients who underwent anterior cervical surgical approach were reviewed, divided into two groups: “Group A” Conventional Presurgical Protocol (CPP) and “Group B” Extended Presurgical Protocol (EPP). Statistical analysis used the IBM SPSS Statistics Base v.24 software. Results: We evaluated 114 patients, 35 from “Group A”, 79 from “Group B”, 83 (72.8%) with cervical myelopathy, 30 (26.3%) with cervicobrachialgia. “Group A” had 10 cases of respiratory failure, with 5 secondary to bronchial secretion, 2 secondary to cervical hematoma. “Group B” had 12 cases of respiratory failure, 3 secondary to bronchial secretion and 1 secondary to cervical hematoma. Conclusions: The extended presurgical protocol can be the answer to reduce complications by improving selection parameters of the candidate patient for a surgical procedure of the cervical spine. Level of Evidence III; Case-control studyg. |
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Sociedade Brasileira de Coluna |
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2018 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512018000200090 |
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