Perioperative Vision Loss in Cervical Spinal Surgery.

Publication Title

Global Spine J

Authors

Brandon C Gabel, Swedish Neuroscience Institute, Seattle, WA, USAFollow
Arthur Lam, Swedish Neuroscience Institute, Seattle, WA, USAFollow
Jens R Chapman, Swedish Neuroscience InstituteFollow
Rod J Oskouian, Swedish Neuroscience Institute, Swedish Medical Center, Seattle, Washington, USAFollow
Ahmad Nassr
Bradford L Currier
Arjun S Sebastian
Paul M Arnold
Steven Hamilton, Neuroscience Institute, Swedish Medical Center, Seattle, WAFollow
Michael G Fehlings
Thomas E Mroz
K Daniel Riew

Document Type

Article

Publication Date

4-1-2017

Keywords

PION; blindness; ischemic optic neuropathy; spine surgery

Abstract

STUDY DESIGN: Retrospective multicenter case series.

OBJECTIVE: To assess the rate of perioperative vision loss following cervical spinal surgery.

METHODS: Medical records for 17 625 patients from 21 high-volume surgical centers from the AOSpine North America Clinical Research Network who received cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, inclusive, were reviewed to identify occurrences of vision loss following surgery.

RESULTS: Of the 17 625 patients in the registry, there were 13 946 patients assessed for the complication of blindness. There were 9591 cases that involved only anterior surgical approaches; the remaining 4355 cases were posterior and/or circumferential fusions. There were no cases of blindness or vision loss in the postoperative period reported during the sampling period.

CONCLUSIONS: Perioperative vision loss following cervical spinal surgery is exceedingly rare.

Clinical Institute

Neurosciences (Brain & Spine)

Specialty/Research Institute

Neurosciences

Specialty/Research Institute

Surgery

Specialty/Research Institute

Ophthalmology