Steven M Andelman1, Steven J McAnany2, Sheeraz A Qureshi1, Andrew C Hecht1. 1. Mount Sinai Icahn School of Medicine Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY. 2. Washington University Department of Orthopaedic Surgery, St. Louis, MO.
Abstract
BACKGROUND: Bilateral C5 motor palsy is a rare but potentially debilitating complication after cervical spine decompression with very few reports in the published literature. PURPOSE: To present a case of bilateral C5 motor palsy after anterior cervical decompression and fusion and discuss the incidence and risk factors of this complication. STUDY DESIGN/ SETTING: We report a case of a 57-year-old male who underwent a three level C3-C6 anterior cervical discectomy and fusion with instrumentation who developed a postoperative bilateral C5 motor palsy. METHODS: A review of the literature was performed regarding reports on and incidence of post-operative bilateral C5 palsy following either anterior or posterior cervical spine decompression. RESULTS: Bilateral C5 motor palsy is a rare complication of cervical spine decompression with an overall incidence of 0.38%. Although a group of risk factors have been suggested no single cause has been identified. CONCLUSIONS: Bilateral C5 motor palsy is a rare but debilitating complication of cervical decompression.
BACKGROUND:Bilateral C5 motor palsy is a rare but potentially debilitating complication after cervical spine decompression with very few reports in the published literature. PURPOSE: To present a case of bilateral C5 motor palsy after anterior cervical decompression and fusion and discuss the incidence and risk factors of this complication. STUDY DESIGN/ SETTING: We report a case of a 57-year-old male who underwent a three level C3-C6 anterior cervical discectomy and fusion with instrumentation who developed a postoperative bilateral C5 motor palsy. METHODS: A review of the literature was performed regarding reports on and incidence of post-operative bilateral C5 palsy following either anterior or posterior cervical spine decompression. RESULTS:Bilateral C5 motor palsy is a rare complication of cervical spine decompression with an overall incidence of 0.38%. Although a group of risk factors have been suggested no single cause has been identified. CONCLUSIONS:Bilateral C5 motor palsy is a rare but debilitating complication of cervical decompression.