Anterior Cervical Discectomy and Fusion Combined with Thyroid Gland Surgery, a Tailored Case and Literature Review

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2019 Dec 29

PMID 31881874

Citations 1

Authors

Konstantinos M Themistoklis

Stefanos I Korfias

Themistoklis I Papasilekas

Konstantinos A Boviatsis

Agis G Kokkoros

Eleftherios D Spartalis

Georgios P Mimidis

Damianos E Sakas

Affiliations

Soon will be listed here.

Abstract

Background: Nowadays, Anterior Cervical Discectomy and Fusion (ACDF) is considered a routine procedure. However, unexpected difficulties do occasionally arise, especially when anterior neck pathologies or anatomical variations are encountered. In such cases, proactive thinking will allow surgeons to tailor appropriately their approach and eliminate surgical risks.

Case Presentation: We present the case of a 50-year-old male patient suffering from left upper limb radiculopathy that underwent a C7-T1 ACDF combined with a hemithyroidectomy. Excision of the right thyroid lobe was offered to the patient because of a goiter found during the preoperative work-up. Furthermore, the hemithyroidectomy provided a wide surgical field so the ACDF performed without excreting excessive traction to the adjacent neck structures.

Conclusions: The patient had an uncomplicated post-operative. To our knowledge this is the first report of a planned hemithyroidectomy being carried out as the first step towards an ACDF procedure.

Citing Articles

Anterior cervical spine surgery opens up concerns about thyroid function.

Haddadi K, Khanghah S, Moradi S, Shayesteh Azar M, Akha O, Ehteshami S Biomedicine (Taipei). 2022; 11(3):31-37.

PMID: 35223408 PMC: 8823493. DOI: 10.37796/2211-8039.1214.

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