PREOPERATIVE PROTOCOL AND MORBIMORTALITY IN CERVICAL SURGERY WITH ANTERIOR APPROACH

PROTOCOLO PRÉ-OPERATÓRIO E MORBIMORTALIDADE EM CIRURGIA CERVICAL COM ABORDAGEM ANTERIOR

PROTOCOLO PREOPERATORIO Y MORBIMORTALIDAD EN CIRUGÍA CERVICAL CON ABORDAJE ANTERIOR

ABSTRACT

Objective:

To determine the correlation between morbidity/mortality and the pre-surgical protocol in patients undergoing anterior cervical surgical approach.

Methods:

Retrospective, cross-sectional and descriptive study, in which 114 patients who underwent anterior cervical surgical approach were reviewed, divided into two groups: “Group A” Conventional Presurgical Protocol (CPP) and “Group B” Extended Presurgical Protocol (EPP). Statistical analysis used the IBM SPSS Statistics Base v.24 software.

Results:

We evaluated 114 patients, 35 from “Group A”, 79 from “Group B”, 83 (72.8%) with cervical myelopathy, 30 (26.3%) with cervicobrachialgia. “Group A” had 10 cases of respiratory failure, with 5 secondary to bronchial secretion, 2 secondary to cervical hematoma. “Group B” had 12 cases of respiratory failure, 3 secondary to bronchial secretion and 1 secondary to cervical hematoma.

Conclusions:

The extended presurgical protocol can be the answer to reduce complications by improving selection parameters of the candidate patient for a surgical procedure of the cervical spine. Level of Evidence III; Case-control study^g.

Keywords:
Spinal cord compression; Myelopathy; Spirometry; Respiratory insufficiency