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Stefan Matschke, Christof Wagner, Daniela Davids, Andreas Wentzensen |
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The use of endoscopic, minimally invasive surgical techniques in the reconstruction of the anterior column of the spine results in a significant decrease of approachrelated complications. Depending on the level of injury, every stage of the surgical procedure is associated with a specific risk of complications requiring a detailed preparation of the operation. Preoperative preparations aim at recognition and improvement of pre-existing cardiopulmonary diseases (e.g. chronic obstructive pulmonary diseases) as well as planning of anesthesia (twin tube airway, monitoring) and surgical technique, including optimal position of the patient, approach, reduction and stabilization of the fracture. Intraoperatively, a specific management is necessary to avoid complications, e.g. vascular, dura, or spinal cord injuries or lesions of the lung and the abdominal organs. In the postoperative course, general complications (infection, wound healing problems, bleeding, atelectasis), implant-associated complications (aseptic loosening, cage sinking), or fusion-associated complications (loss of reduction, pseudarthrosis, corresponding problems) have to be differentiated. |
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