Unstable cervical spine; is it still a contraindication for percutaneous tracheostomy as thought before? | Zendy

Amila Jayasinghe | Zendy; Ravi Weerakoon | Zendy; Udaya Karunarathne | Zendy

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Unstable cervical spine; is it still a contraindication for percutaneous tracheostomy as thought before?

Author(s) -

Amila Jayasinghe,

Ravi Weerakoon,

Udaya Karunarathne

Publication year - 2020

Publication title -

sri lankan journal of anaesthesiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.145

H-Index - 4

eISSN - 2279-1965

pISSN - 1391-8834

DOI - 10.4038/slja.v28i2.8615

Subject(s) - medicine , contraindication , surgery , percutaneous , spondylolisthesis , cervical spine , cervical vertebrae , bronchoscopy , spinal cord injury , vertebra , facet joint , percutaneous vertebroplasty , spinal cord , vertebral body , alternative medicine , pathology , lumbar spine , lumbar , psychiatry

We report a 28 year old male with an unstable acute traumatic cervical spinal cord injury (SCI) due to anterior spondylolisthesis of C6 over C7 vertebra and facet joint dislocation of C6-C7 who underwent a successful bronchoscopy guided percutaneous tracheostomy (PCT) on day 6. Cervical SCI demands tracheostomy in majority but SCI with unstable cervical spine itself makes tracheostomy a challenging procedure. Even though cervical SCI was considered a relative contraindication for PCT, it can be safely performed in neutral neck position. Addition of ultrasound scanning of neck and bronchoscopic guidance further increases its safety profile. In cervical SCI early tracheostomy may be more effective than late.

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