title: Negative pressure pulmonary edema associated with anterior cervical spine surgery.
abstract: We report a very rare case of negative pressure pulmonary edema (NPPE) that occurred immediately after anterior cervical discectomy and fusion (ACDF). The patient was a 25-year-old man who sustained a facet fracture-dislocation of C5 during a traffic accident. After ACDF, he developed NPPE and needed mechanical ventilation. Fortunately, he recovered fully within 24 hours. NPPE is a rare postoperative complication that may occur after cervical spine surgery. The aims of this report are to present information regarding the diagnosis and emergent treatment of NPPE, and to review the previous literature regarding this serious complication.
authors.affiliation: Department of Orthopedic Surgery, Yamatotakada Municipal Hospital, Yamatotakada, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Shigematsu
authors.affiliation: Department of Orthopedic Surgery, Yamatotakada Municipal Hospital, Yamatotakada, Japan.
authors.forename: Masana
authors.initials: M
authors.lastname: Yoneda
authors.affiliation: Department of Orthopedic Surgery, Nara Medical University, Kashihara, Japan.
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Tanaka
keywords: Airway; Anterior cervical discectomy and fusion; Cervical spine; Complication; Negative pressure pulmonary edema; Prevertebral soft tissue swelling; cervical discectomy and fusion