Skip to main content

Beratung und Aufklärung des Patienten

  • Chapter
  • First Online:
Degenerative Erkrankungen der Halswirbelsäule

Zusammenfassung

Infolge der mittlerweile jahrzehntelangen Erfahrung mit operativen Eingriffen an der Halswirbelsäule sind die statistischen Risiken für schwere Komplikationen durch eine Operation signifikant gesunken. Dennoch müssen diese im Rahmen eines Aufklärungsgesprächs dem Patienten erörtert und im Aufklärungsbogen schriftlich fixiert werden. Insgesamt liegen die Risiken für schwere Komplikationen (Verletzung von Myelon, Nervenwurzeln, Gefäßen sowie Luft- und Speiseröhre) im unteren einstelligen Prozentbereich bzw. teils unter 1 %. Die Prognose für eine Rückbildung eines Radikulärsyndroms nach operativer Dekompression ist sehr gut. Ebenso werden mittlerweile bei der zervikalen Myelopathie gute und sehr gute Ergebnisse nach operativer Dekompression erzielt.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 69.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Belanger TA, Roh JS, Hanks SE et al. (2005) Ossification of the posterior longitudinal ligament. Results of anterior cervical decompression and arthrodesis in sixty-one North American patients. J Bone Joint Surg Am 87:610–615

    PubMed  Google Scholar 

  • Bilbao G, Duart M, Aurrecoechea JJ et al. (2010) Surgical results and complications in a series of 71 consecutive cervical spondylotic corpectomies. Acta Neurochir (Wien) 152:1155–1163

    Article  Google Scholar 

  • Chiba K, Toyama Y, Matsumoto M et al. (2002) Segmental motor paralysis after expansive open-door laminoplasty. Spine 27:2108–2115

    Article  PubMed  Google Scholar 

  • Choi S, Lee SH, Lee JY et al. (2005) Factors affecting prognosis of patients who underwent corpectomy and fusion for treatment of cervical ossification of the posterior longitudinal ligament: analysis of 47 patients. J Spinal Disord Tech 18:309–314

    Article  PubMed  Google Scholar 

  • Eleraky MA, Llanos C, Sonntag VK (1999) Cervical corpectomy: report of 185 cases and review of the literature. J Neurosurg 90:(1 Suppl) 35–41

    Article  CAS  PubMed  Google Scholar 

  • Epstein N (1993) The surgical management of ossification of the posterior longitudinal ligament in 51 patients. J Spinal Disord 6:432–455

    Article  CAS  PubMed  Google Scholar 

  • Epstein NE (1998) Circumferential surgery for the management of cervical ossification of the posterior longitudinal ligament. J Spinal Disord 11:200–207

    CAS  PubMed  Google Scholar 

  • Fehlings MG, Smith JS, Kopjar B et al. (2012) Perioperative and delayed complications associated with the surgical treatment of cervical spondylotic myelopathy based on 302 patients from the AOSpine North America Cervical Spondylotic Myelopathy Study. J Neurosurg Spine 16(5):425–432

    Article  PubMed  Google Scholar 

  • Heller JG, Silcox DH III, Sutterlin CE III (1995) Complications of posterior cervical plating. Spine 20:2442–2448

    Article  CAS  PubMed  Google Scholar 

  • Kato Y, Iwasaki M, Fuji T et al. (1998) Long-term follow-up results of laminectomy for cervical myelopathy caused by ossification of the posterior longitudinal ligament. J Neurosurg 89:217–223

    Article  CAS  PubMed  Google Scholar 

  • Lunardi DJ, Eskander MS, Even JL et al. (2013) Vertebral artery injuries in cervical spine surgery. Spine J S1529-9430(13)01556–8

    Google Scholar 

  • Machino M, Yukawa Y, Hida T et al. (2012) The prevalence of pre- and postoperative symptoms in patients with cervical spondylotic myelopathy treated by cervical laminoplasty. Spine (Phila Pa 1976) 15;37(22):E1383–1388

    Article  PubMed  Google Scholar 

  • Sakaura H, Hosono N, Mukai Y et al. (2003) C5 palsy after decompression surgery for cervical myelopathy: review of the literature. Spine 28:2447–2451

    Article  PubMed  Google Scholar 

  • Saunders RL, Pikus HJ, Ball P (1998): Four-level cervical corpectomy. Spine 23:2455–2461

    Article  CAS  PubMed  Google Scholar 

  • Smith ZA, Buchanan CC, Raphael D, Khoo LT (2011) Ossification of the Posterior Longitudinal Ligament. Pathogenesis, Management, and Current Surgical Approaches: A Review. Neurosurg Focus 30(3):E10

    Article  PubMed  Google Scholar 

  • Swank ML, Lowery GL, Bhat AL, McDonough RF (1997) Anterior cervical allograft arthrodesis and instrumentation: multilevel interbody grafting or strut graft reconstruction. Eur Spine J 6:138–143

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Tsuzuki N, Abe R, Saiki K, Okai K (1993) Paralysis of the arm after posterior decompression of the cervical spinal cord. II. Analyses of clinical findings. Eur Spine J 2:197–202

    Article  CAS  PubMed  Google Scholar 

  • Vaccaro AR, Falatyn SP, Scuderi GJ et al. (1998) Early failure of long segment anterior cervical plate fixation. J Spinal Disord 11:410–415

    CAS  PubMed  Google Scholar 

  • Yonenobu K, Hosono N, Iwasaki M et al. (1991) Neurologic complications of surgery for cervical compression myelopathy. Spine 16:1277–1282

    Article  CAS  PubMed  Google Scholar 

  • Zhu B, Xu Y, Liu X, Liu Z, Dang G (2013) Anterior approach versus posterior approach for the treatment of multilevel cervical spondylotic myelopathy: a systemic review and meta-analysis. Eur Spine J 22(7):1583–1589

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stefan Alexander König .

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

König, S., Spetzger, U. (2014). Beratung und Aufklärung des Patienten. In: Degenerative Erkrankungen der Halswirbelsäule. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43562-5_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-43562-5_9

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43561-8

  • Online ISBN: 978-3-662-43562-5

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics