C-Spine Surgical Procedures Flashcards
Microdiscectomy/discectomy
Microdiscectomy: herniated segment is removed
Discectomy: partial or complete removal of disc
Laminoforaminotomy
remove c-spine segments encroaching on nerve.
Laminoplasty
posterior approach to remove SP and bilateral laminae.
<25% of Z-joint removed, more requires fusion
Anterior Cervical Arthrodesis
Removal of structures causing compression on nerve tissue, internal fixation and graft from iliac crest or cadaver graft
Patient’s who undergo an anterior cervical arthrodesis are stabilized in a _____ post-op.
Halo
What are the general reccommendations 4-6 weeks post-op for those who underwent an anterior cervical arthrodesis?
- External protection per surgeon preference
- AROM of C-spine + UEs
- C-spine isos
- Increase tolerance to sitting
- Walking/stationary cycling
- Limited UE activity (lifting/pushing/pulling, etc.)
What is the progression >6 weeks post-op anterior cervical arthrodesis?
- Gradual increase in UE/LE resistance training (per toleration)
- AVOID overhead resistance training
- UBE Progression
- Focus on return to activity limitations/participation restrictions
What is the benefit of a cervical disc arthroplasty compared to a fusion?
Allows for ROM at spinal segments.
Which surgical approach is less invasive, anterior or posterior?
Posterior
General risk factors associated with c-spine surgeries.
- Surgical site infection
- Myositis ossificants
- DVT
- Spinal cord/nerve injury
- Muscular dysfunction
- Hardware failure
- Pseudoarthrosis
Myositis Ossificans
bone formation in musculotendinous tissue, can break off and cause soft tissue damage.
