Cuidados técnicos durante la artroplastia cervical: presentación de dos casos / Technical pitfalls during cervical arthoplasty: Report of two cases
Rev. argent. neurocir
;
21(3): 130-132, jul.-sept. 2007. ilus
Article
in Spanish
| LILACS
| ID: lil-511275
ABSTRACT
Objective:
to describe and analyze two cases of cervical arthroplasty with spinal misalignment. Description Both, a 44 year old female (case 1) with a 9 months history of myeloradiculopathy and a 50 year old female (case 2) with a 2 year history of cervicobrachial pain had a C5-C6 posterolateral discal hernia diagnosed by magnetic resonance. As medical treatment failed, both patients were taken to surgery. Intervention In both cases we performed a cervical arthroplasty using a 14mm Bryan cervical disc prosthesis. There were no intraoperative complications. Case 1 had a postoperative sagittal misalignment and plate angle was -10° (preoperative +3°). This was caused by an inappropriate use of the manual stabilizer. Case 2 had a postoperative coronal misalignment coronal angle was 18° (preoperative 0°). This was caused by the asymmetric anterior ostheophyte and end plate drilling. At the latest follow-up, 6 and 3 months respectively, case 1 still had muscular pain and case 2 was asymptomatic.Conclusion:
In both cases misalignment problems could have been avoided with a proper surgical technique and were not inherent to the insertion technique.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Arthroplasty
/
Spine
/
Lordosis
Type of study:
Practice guideline
Language:
Spanish
Journal:
Rev. argent. neurocir
Journal subject:
Neurosurgery
Year:
2007
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Universidad de Buenos Aires/AR
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