Abstract
Pre-operative examination of a patient scheduled for cervical spine surgery should include a simple neurological assessment. Cervical spondylosis is the commonest indication for surgery. Airway management is the main problem. Rheumatoid arthritis is the leading cause of difficult intubation. Most cases can be intubated with the aid of a gum elastic bougie, but flexible fibreoptic techniques are required in a significant minority. The timing of extubation can be difficult. Postoperative airway obstruction and respiratory depression are particular problems. Anaesthetic technique is influenced by evoked potential spinal cord monitoring.
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