Prophylactic perioperative dexamethasone decreases the incidence of postoperative C5 palsies after a posterior cervical laminectomy and fusion.

Affiliation

Department of Orthopaedic Surgery, Ferguson Laboratory for Orthopaedic Research, University of Pittsburgh, E1643 Biomedical Science Tower, 200 Lothrop St, Pittsburgh, PA 15213, USA. Electronic address: [Email]

Abstract

Postoperative C5 palsy is a well-known complication of cervical decompression procedures. Studies have shown that posterior laminectomy and fusions confer the greatest risk of C5 palsy. Despite this, pharmacologic preventive measures remain unknown. We hypothesize that prophylactic perioperative dexamethasone (DEX) will decrease the rate of postoperative C5 palsy in patients undergoing a multilevel posterior cervical laminectomy and fusion.

Keywords

C5 palsy,Cervical decompression,Dexamethasone,Fusion,Laminectomy,Prophylaxis,

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