Is There a Risk of Perioperative Stroke Due to the Retraction Used During Anterior Cervical Discectomy?

Samsun University

Status: Completed

Conditions: Cervical Disc Herniation; Cervical Disc Disease; Cervical Stenosis

Treatments: Device: Near infrared spectroscopy

Study type: Observational

Funder types: Other

Identifiers

NCT05717010

Samsun University (SamsunU)

Details and patient eligibility

About

In anterior cervical disc surgery, head and neck extansion position and, surgical retraction used while reaching the anterior surface of the cervical vertebra can be affect the carotid blood flow and constituting a risk for cerebral ischaemia. In this study, we planned to investigate the relationship between head position and retraction, cerebral oxygenation and postoperative cognitive functions in patients undergoing anterior cervical disc surgery.

Enrollment: 2 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 18-70 years
• Preoperative Mini-Mental State Examination score of 27-30
• Who were planned to undergo anterior cervical disc surgery under general anesthesia

Exclusion criteria

• Patients with hypertension, severe pulmonary disease, anaemia, cardiac disease, ischaemic cerebrovascular disease, renal disease, hepatic disease, pregnancy, uncontrolled diabetes mellitus, stricture or obstruction in the carotid or vertebral arteries or
• Body mass index (BMI) >30.

Trial design

2 participants in 2 patient groups

Group self-retaining retractor

Description:

Patients used self-retaining retractor for surgery

Treatment:

Device: Near infrared spectroscopy

Group Hand-held retractor

Description:

Patients used hand held retractor for surgery

Treatment:

Device: Near infrared spectroscopy