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Anaesthesia for posterior cervical osteotomy.

A G Harris, J S Heron, W A Renwick

    Canadian Anaesthetists' Society Journal
    |January 1, 1975
    PubMed
    Summary
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    This study reviewed 22 posterior cervical osteotomy cases, detailing anesthetic management and outcomes. Careful patient preparation and neuroleptanalgesia were key, with low operative mortality but noted risks of air and pulmonary embolism.

    Area of Science:

    • Orthopedic Surgery
    • Anesthesiology

    Background:

    • Posterior cervical osteotomy is a surgical procedure for spinal deformities.
    • Anesthetic management for this procedure requires specific considerations.

    Purpose of the Study:

    • To analyze the anesthetic management of posterior cervical osteotomy.
    • To report outcomes and complications in a series of patients.

    Main Methods:

    • Review of 22 consecutive posterior cervical osteotomy cases.
    • Detailed discussion of anesthetic techniques, including psychological preparation and neuroleptanalgesia.
    • Surgeon-administered local anesthetic infiltration.

    Main Results:

    • No intraoperative deaths were recorded.

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  • One case of intraoperative collapse, suspected air embolism.
  • One case of postoperative pulmonary embolism leading to death.

    • Conclusions:

    • Anesthetic management for posterior cervical osteotomy involves careful patient preparation and specific techniques.
    • Risks such as air and pulmonary embolism require vigilance.
    • Recommendations are provided for managing patients with prior posterior cervical osteotomy.