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Frontiers in Medical Science Research, 2024, 6(10); doi: 10.25236/FMSR.2024.061004.

Overlooked threat: Orthostatic hypotension after degenerative cervical spondylosis surgery

Author(s)

Mengyuan Wen1, Qiushi Wang2, Xiaojuan Shi3, Xiaolan Guo1

Corresponding Author:
Xiaolan Guo
Affiliation(s)

1Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China

2Department of Orthopaedic, Chinese PLA 970 Hospital, Yantai, 264000, China

3Department of Orthopaedic, Xijing Hospital, Air Force Medical University, Xi’an, 710032, China

Abstract

Patients with Degenerative cervical spondylosis (DCS) who fail to respond to conservative treatment are mostly treated with cervical decompression surgery. In addition to the common complications such as nerve root injury, trachea, esophagus and neck vascular injury, Orthostatic hypotension (OH) can also occur after surgery. OH is a clinical manifestation of abnormal blood pressure fluctuations during postural changes. At present, there have been in-depth studies in the fields of spinal cord injury, Parkinson's disease and cardiovascular and cerebrovascular diseases. However, it has not received enough attention in patients after DCS. Therefore, this article is committed to explore the mechanism and risk factors of OH when DCS patients get out of bed for the first time after surgery, and summarize the diagnostic methods and preventive measures, in order to improve the understanding of medical staff on OH in DCS patients after surgery and improve the prognosis and quality of life of patients.

Keywords

Degenerative cervical spondylosis; Orthostatic hypotension; Pathogenesis; Risk factors; preventive measure

Cite This Paper

Mengyuan Wen, Qiushi Wang, Xiaojuan Shi, Xiaolan Guo. Overlooked threat: Orthostatic hypotension after degenerative cervical spondylosis surgery. Frontiers in Medical Science Research (2024), Vol. 6, Issue 10: 28-33. https://doi.org/10.25236/FMSR.2024.061004.

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