关键词: 颈椎再次手术, 风险因素, 颈椎再手术原因

Abstract: 【Abstract】 Objective To investigate the risk factors and causes of cervical reoperation. Methods From May 2005 to May 2015 in the First Affiliated Hospital of Sun Yat?sen University, 1043 cases received cervical surgeries，among which 56 cases received reoperation. We recorded the patients′ gender, age, hospitalization days, surgery segment, surgery approach, with internal fixation or not, surgical blood loss，surgery duration，pre?operative diagnosis，WBC levels and the neutrophil percentage before the first operation. The statistical analysis was carried out with software SPSS. Results Using logistic regression analysis，we found that the hospitalization days，WBC levels before the first operation and surgical blood loss were the important risk factors of cervical reoperation. Spinal cord recompression, tumor recurrence and nonhealing wounds were the major causes of cervical reoperation. Conclusion For patients with associated risk factors, they should be informed about the high risk of cervical reoperation, the doctors may also need to regulate tumor radiation and chemotherapy, observe the postoperative wounds more frequently，review indicators of infection timely and limit the postoperative cervical activity by wearing a neck circumference，so as to reduce the incidence of cervical reoperation.

Key words: cause of cervical reoperation, risk factors, cervical spinal reoperation