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Bone morphogenetic protein (rhBMP) should not be routinely used in any type of anterior cervical spine fusion, such as with anterior cervical discectomy and fusion. [2] [3] There are reports of this therapy causing swelling of soft tissue which in turn can cause life-threatening complications due to difficulty swallowing and pressure on the respiratory tract.
Recovery following spinal fusion is extremely variable, depending on individual surgeon's preference and the type of procedure performed. [20] The average length of hospital stay for spinal fusions is 3.7 days. [6] Some patients can go home the same day if they undergo a simple cervical spinal fusion at an outpatient surgery center. [21]
The spine adjusts slowly over time, and as a result, consequences are generally limited. Children are less likely than adolescents or adults to experience neurological side effects, due to the softness and flexibility of their spine, as well as their low weight. [42] Erb's palsy has been identified as a rare neurological side effect of HGT. [43]
Anterior cervical discectomy and fusion: A procedure that reaches the cervical spine (neck) through a small incision in the front of the neck. The intervertebral disc is removed and replaced with a small plug of bone or other graft substitute, along with a height restoration device to un-impinge nerves, and in time, the vertebrae will fuse ...
A cerebrospinal fluid leak can be a rare complication of an anterior cervical discectomy and fusion. One study suggested a CSF leak to follow from 0.5% of operations. [40] Another study suggests a CSF leak to follow from 1% of operations. In most of these cases repair is successful. [41]
Laminoplasty is a surgical procedure that has been developed as an alternative to cervical laminectomy, which is used to treat cervical myelopathy. Laminoplasty reconstructs the vertebral lamina to decompress the spinal cord. The term laminoplasty means, "to create a hinge to lift the lamina." [1]
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