[Segmental root palsy (SRP) after cervical decompression surgery].
OBJECTIVE
To explore the occurrence, prevention and cure prognosis of segment root polsy (especially in C5 palsy) after cervical decompression surgery.


METHODS
From February 2006 and December 2008,162 patients were operated with cervical decompression through approach for anterior or posterior in our hospital. Among them, 10 cases occurred SRP after operation included 6 males and 4 females aged from 40 to 68 with an average of 53 years old. These cases were treated with dehydration, trophic nerve, hyperbaric oxygenation. The clinical data were retrospective analzed.


RESULTS
Ten patients were followed up from 8 months to 3 years with an average of 2.4 years. It was observed that all the patients recovered during a period of 4.4 months on average (ranging from 3 weeks to 8 months).


CONCLUSIONS
SRP(especially in C5 palsy) is one of the common complications of anterior or posterior cervical decompression surgery. SRP is usually the result of various nosogenesis. As there was no effective treatment, conservative treatment is usually adopted with optimistic prognosis.
Wu
Li-Yong
LY
The Ninth Department of Orthopaedics, Mindong Hospital of Ningde City/The Teaching Hospital of Fujian Medical University, Ningde 355000, Fujian, China.
Zheng
Xiu-Xia
XX
Feng
Bin
B
Wang
Chun
C
D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000601:surgery*; D019299:Decompression, Surgical / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control; D011379:Prognosis; D020127:Recovery of Function; D012189:Retrospective Studies; D013126:Spinal Nerve Roots / Q000473:pathology* / Q000503:physiopathology