title: An analysis of failures in primary cervical anterior spinal cord decompression and fusion.
abstract: Recently, postoperative results of cervical spondylosis, disc herniation, and ossification of the posterior longitudinal ligament (OPLL) after anterior cervical surgeries have improved. However, occasional unsatisfactory cases needing a second operation remain. We analyzed and developed strategies for multioperated neck (MON) cases; all patients had two operations. From 1965 to 1988, 443 cervical anterior surgeries were performed in our hospitals; 53 (12.0%) of these patients needed second operations. These MON cases were classified by the following causes: pseudarthrosis, graft fracture, insufficient decompression, misdiagnosis, and adjacent disc problems. These groups were analyzed, and the resulting surgical strategies, including indications and techniques of anterior surgery, are described.
authors.affiliation: Department of Orthopaedic Surgery, Tokyo Medical and Dental University, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Shinomiya
authors.forename: A
authors.initials: A
authors.lastname: Okamoto
authors.forename: M
authors.initials: M
authors.lastname: Kamikozuru
authors.forename: K
authors.initials: K
authors.lastname: Furuya
authors.forename: I
authors.initials: I
authors.lastname: Yamaura
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D002114:Calcinosis / Q000601:surgery*; D002574:Cervical Vertebrae / Q000601:surgery*; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D007738:Kyphosis / Q000209:etiology / Q000601:surgery; D008022:Ligaments / Q000473:pathology* / Q000601:surgery; D008297:Male; D008579:Meningioma / Q000175:diagnosis; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D011542:Pseudarthrosis / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D012086:Reoperation / Q000706:statistics & numerical data; D013117:Spinal Cord Compression / Q000601:surgery*; D013120:Spinal Cord Neoplasms / Q000175:diagnosis; D016103:Spinal Fractures / Q000209:etiology / Q000601:surgery; D013123:Spinal Fusion / Q000706:statistics & numerical data; D013128:Spinal Osteophytosis / Q000601:surgery*; D017211:Treatment Failure; D014945:Wound Healing