Prophylactic perioperative dexamethasone decreases the incidence of post-operative c5 palsies following a posterior cervical laminectomy and fusion

Post-operative C5 Palsy is a well-known complication of cervical decompression procedures. Studies have shown that posterior laminectomy and fusions confer the greatest risk of C5 palsy. Despite this, pharmacologic preventive measures remain unknown. We hypothesize that prophylactic perioperative dexamethasone will decrease the rate of post-operative C5 palsy in patients undergoing a multilevel posterior cervical laminectomy and fusion.PURPOSE: The purpose of this study was to assess the safety and efficacy of prophylactic perioperative dexamethasone in decreasing the rate of post-operative C5 palsy.

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