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  4. Cervical wound dehiscence following internal fixation of the cervical and thoracic spine: a report of three cases

Cervical wound dehiscence following internal fixation of the cervical and thoracic spine: a report of three cases

J Spine Surg, 2023 · DOI: 10.21037/jss-23-91 · Published: December 6, 2023

SurgeryResearch Methodology & DesignDermatology

Simple Explanation

This case report discusses novel complications of wound dehiscence in three patients who were treated with spinous process ostectomies after posterior cervical surgeries. The purpose of this case report is to document cases of postoperative cervical wound dehiscence and to share outcomes of spinous process resections and skin approximation for management of this complication. This information is valuable as treatment strategies and research into cervical wound dehiscence are limited to a single case report.

Study Duration
Not specified
Participants
Three patients with cervical wound dehiscence
Evidence Level
Level IV, Case Report

Key Findings

  • 1
    Prominent spinous process at the level of a previous posterior cervical incision is a sign of internal cervical wound dehiscence.
  • 2
    Cervical wound dehiscence can be safely managed with spinous process resection and approximation of the skin.
  • 3
    This case series presents successful management strategies for this clinical complication to help aid in the future management of patients.

Research Summary

This case report documents the successful treatment of cervical wound dehiscence which is a rare postoperative complication of cervical spinal surgery. Our case report demonstrates three cases of successful treatment strategies involving the resection of prominent spinous processes and serves as a preliminary report for further research. We believe this case report will aid in the treatment and management of future patients with this rare but serious complication.

Practical Implications

Diagnosis

Prominent spinous process at the level of a previous posterior cervical incision is a sign of internal cervical wound dehiscence.

Treatment

Cervical wound dehiscence can be safely managed with spinous process resection and approximation of the skin.

Management

The case series presents successful management strategies for this clinical complication to help aid in the future management of patients.

Study Limitations

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