caa a22 4500 445373024 CHVBK 20180317142953.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00540-010-1069-0 doi (NATIONALLICENCE)springer-10.1007/s00540-010-1069-0 Upper airway obstruction associated with flexed cervical position after posterior occipitocervical fusion [Elektronische Daten] [Tsuyoshi Tagawa, Koji Akeda, Yumiko Asanuma, Masayuki Miyabe, Hirofumi Arisaka, Munetaka Furuya, Kazuichi Yoshida, Shigeki Sakuraba] Upper airway obstruction resulting from overflexion fixation of the cervical spine is a rare but life-threatening complication after cervical spine surgery. There are few reports of dyspnea after a posterior cervical fusion. We present the case of a 63-year-old woman with rheumatoid arthritis who developed an upper airway obstruction immediately after an O-C4 fusion. She was reintubated with a fiberoptic scope. Revision surgery allowing the angle to return to the neutral position was performed to ameliorate the overflexion of the cervical spine fixation and the consequent upper airway obstruction. After revision surgery, the upper airway obstruction disappeared. Our experience suggests that intraoperative use of fluoroscopy and extubation with a tube exchanger are recommended to avoid this complication, especially in patients at high risk of upper airway obstruction. Japanese Society of Anesthesiologists, 2010 Rheumatoid arthritis nationallicence Airway obstruction nationallicence Spinal fusion nationallicence Tagawa Tsuyoshi Division of Clinical Anesthesia, Mie University Hospital, Mie, Japan aut Akeda Koji Department of Orthopedic Surgery, Graduate School of Medicine, Mie University, Mie, Japan aut Asanuma Yumiko Department of Orthopedic Surgery, Graduate School of Medicine, Mie University, Mie, Japan aut Miyabe Masayuki Division of Clinical Anesthesia, Mie University Hospital, Mie, Japan aut Arisaka Hirofumi Department of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, 82 Inaoka-cho, 238-8580, Yokosuka, Kanagawa, Japan aut Furuya Munetaka Department of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, 82 Inaoka-cho, 238-8580, Yokosuka, Kanagawa, Japan aut Yoshida Kazuichi Department of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, 82 Inaoka-cho, 238-8580, Yokosuka, Kanagawa, Japan aut Sakuraba Shigeki Department of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, 82 Inaoka-cho, 238-8580, Yokosuka, Kanagawa, Japan aut Journal of Anesthesia Springer Japan 25/1(2011-02-01), 120-122 0913-8668 25:1<120 2011 25 540 https://doi.org/10.1007/s00540-010-1069-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-010-1069-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tagawa Tsuyoshi Division of Clinical Anesthesia, Mie University Hospital, Mie, Japan aut NATIONALLICENCE 700 1- Akeda Koji Department of Orthopedic Surgery, Graduate School of Medicine, Mie University, Mie, Japan aut NATIONALLICENCE 700 1- Asanuma Yumiko Department of Orthopedic Surgery, Graduate School of Medicine, Mie University, Mie, Japan aut NATIONALLICENCE 700 1- Miyabe Masayuki Division of Clinical Anesthesia, Mie University Hospital, Mie, Japan aut NATIONALLICENCE 700 1- Arisaka Hirofumi Department of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, 82 Inaoka-cho, 238-8580, Yokosuka, Kanagawa, Japan aut NATIONALLICENCE 700 1- Furuya Munetaka Department of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, 82 Inaoka-cho, 238-8580, Yokosuka, Kanagawa, Japan aut NATIONALLICENCE 700 1- Yoshida Kazuichi Department of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, 82 Inaoka-cho, 238-8580, Yokosuka, Kanagawa, Japan aut NATIONALLICENCE 700 1- Sakuraba Shigeki Department of Anesthesiology, Clinical Care Medicine, Kanagawa Dental College, 82 Inaoka-cho, 238-8580, Yokosuka, Kanagawa, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/1(2011-02-01), 120-122 0913-8668 25:1<120 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer