Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Oct 18, 2024; 15(10): 981-990
Published online Oct 18, 2024. doi: 10.5312/wjo.v15.i10.981
Atypical cervical spondylotic radiculopathy resulting in a hypertensive emergency during cervical extension: A case report and review of literature
Hao-Cheng Cui, Zheng-Qi Chang, Shao-Ke Zhao
Hao-Cheng Cui, Zheng-Qi Chang, Shao-Ke Zhao, Department of Orthopedic Surgery, 960th Hospital of PLA, Jinan 250031, Shandong Province, China
Author contributions: Cui HC and Chang ZQ made substantial contributions to acquisition, analysis and interpretation of data; Chang ZQ was responsible for the conception and design of the study and Cui HC was responsible for the drafting and writing of this manuscript; Zhao SK and Cui HC were a surgical assistant. All authors confirm the authenticity of all the raw data.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zheng-Qi Chang, MD, Associate Chief Physician, Associate Professor, Department of Orthopedics, 960th Hospital of PLA, No. 25 Shifan Road, Tianqiao District, Jinan 250031, Shandong Province, China. 26766771@qq.com
Received: May 16, 2024
Revised: September 6, 2024
Accepted: September 14, 2024
Published online: October 18, 2024
Processing time: 147 Days and 17.8 Hours
Core Tip

Core Tip: Cervical spondylotic radiculopathy (CSR) is the most common form of cervical spondylotic disease. To date, no study has documented any link between CSR and hypertensive emergencies. We here present a case of a typical patient with CSR who experienced a hypertensive crisis during the preparatory phase for anterior cervical discectomy and fusion surgery. This event was attributable to slight cervical spine hyperextension. Ultimately, the patient's CSR was resolved through posterior cervical canal expansion and foraminoscope-assisted transforaminal nucleus pulposus extraction. After the 6-month follow-up period, the patient exhibited normal neck flexion and blood pressure was stable during neck movements.