Anterior Servikal Diskektomi ve Füzyon Ameliyatı Sonrası Beklenmeyen Bir Komplikasyon: Düşük Ayak

Year 2015, Volume: 40 Issue: 1, 147 - 150, 09.09.2015

Nuri Çetinalp Kerem Özsoy Sibel Çetinalp Rafet Özay

https://doi.org/10.17826/cutf.79683

Abstract

Ameliyat pozisyonuna bağlı peroneal sinir hasarı, nöroşirürji pratiğinde nadir olarak bildirilmiştir. Özellikle risk faktörlerinin varlığında, intraoperatif sinir hasarı gelişebileceği öngörülmeli ve gerekli önlemler alınmalıdır. Hastanın ameliyat pozisyonu ile ilgili disiplinler arası sorumluluk paylaşımının net olarak belirlenmesi ve ameliyat öncesi hazırlıklar dahil olmak üzere, ameliyathanede yapılan her işlemin detaylı olarak dokümante edilmesi çok önemlidir. Bu makalede, supin pozisyonda gerçekleştirilen ASDF ameliyatından sonra düşük ayak gelişen, 47 yaşında bir kadın hastayı sunuyor ve intraoperatif sinir yaralanmalarının medikolegal yönlerini güncel literatür eşliğinde tartışıyoruz

Keywords

Anterior servikal diskektomi, peroneal sinir, paralizi, intraoperatif pozisyon

Footdrop: An Unexpected Complication After Anterior Cervical Discectomy and Fusion Operation

Abstract

Among the various postoperative complications of anterior cervical discectomy and fusion (ACDF) operation, common peroneal nerve (CPN) palsy is a rare one. In this report we present a 47 years old, female patient who suffered from foot drop postoperatively after an ACDF operation performed in supine position and discuss the medicolegal implications of intraoperative nerve injuries in the light of the foregoing literature. CPN palsy due to intraoperative positioning in neurosurgical practice is very seldomly reported. CPN palsy occurrence should be anticipated and prevented espacially in the presence of the risk factors. There is still a serious need for a more comprehensive understanding of these risk factors. On the other hand intraoperative nerve injuries are becoming a subject of litigation more frequently. The interdisciplinary responsibilities concerning the positioning must be clearly defined and it is essential that the documentation of positioning is carried out as accurately as possible

Keywords

Anterior cervical discectomy, common peroneal nerve, palsy, intraoperative positioning

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