Türk Nöroşirürji Dergisi 2012 , Vol 22 , Num 2
When a Tracheostomy Should be Performed in a Patient Having Cervical Spinal Cord Injury to Whom Anterior Cervical Surgery Planned? Case Report
Berker CEMİL, Emre Cemal GÖKCE, Bülent ERDOĞAN
Fatih Üniversitesi, Tıp Fakültesi Hastanesi, Beyin Cerrahi Anabilim Dalı, Ankara, Türkiye Patients suffering injuries to the upper cervical spinal cord requires endotracheal intubation and positive-pressure ventilation. Because those patients are expected to have a prolonged course of ventilation, they commonly require tracheostomy. However fear of infection may prevent surgeons from attempting anterior cervical spine surgery after tracheostomy. 42 year old woman was referred to our department with the diagnosis of C5 burst fracture after a car accident. Classical tracheostomy procedure was performed to the patient on the fourth day after the accident. On the fourtheenth day, while her clinical status is stable, anterior cervical corpectomy and fusion was applied. Surgeons are concerned about performing anterior cervical spine surgery after tracheostomy procedure. Surgical site infections are rare but serious complications. In addition, to perform tracheostomy before anterior cervical spine surgery, by meticulous draping to isolate the tracheostomy and by prescribing prophylactic antibiotics, is not a factor that impedes anterior cervical spine surgery. Anahtar Kelimeler : Cervical vertebra, Spinal cord injury, Tracheostomy