Dysphagia Following Anterior Cervical Spine Surgery

Hasan, Ghazwan A; Alves, Óscar L.

doi:10.5772/intechopen.101799

Cited by 2 publications

(19 citation statements)

References 52 publications

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“…Further, the reported ACDF complications include stenosis of the respiratory tract by swelling of the surrounding tissue, swallowing disturbance, and hoarseness due to traction of the vocal cord [16]. Meanwhile, the aftermath of laminoplasty surgery complications can lead to persistent neuropathic arm pain, axial neck pain, and a decline in cervical alignment, primarily caused by the advancement of kyphosis [17].…”

Section: Discussionmentioning

confidence: 99%

Postoperative 30-Day Comparative Complications of Multilevel Anterior Cervical Discectomy and Fusion and Laminoplasty for Cervical Spondylotic Myelopathy: An Evidence in Reaching Consensus

et al. 2023

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Although a few large-scale studies have investigated multilevel anterior cervical discectomy and fusion (ACDF) and laminoplasty (LAMP) and their related complications for cervical spondylotic myelopathy (CSM), the optimal surgical intervention remains controversial. Therefore, we compared their 30 days of postoperative complications. Through the 2010–2019 ACS NSQIP Participant Use Data Files, we estimated the risk of serious morbidity, reoperation, readmission, mortality, and other postoperative complications. Initially, propensity score matching (PSM) of the preoperative characteristics of both groups was performed for further analysis. Multivariable logistic regression analysis provided OR and 95% CI for comparative complications. After PSM, 621 pairs of cohorts were generated for both groups. Increased frequency of postoperative complications was observed in the LAMP group, especially for surgical wound infection, no matter whether superficial (ACDF/LAMP = 0%/1.13%, p = 0.0154) or deep wound infection (ACDF/LAMP = 0%/0.97%, p = 0.0309). The mean length of total hospital stays (ACDF/LAMP = 2.25/3.11, p < 0.0001) and days from operation to discharge (ACDF/LAMP = 2.12/3.08, p < 0.0001) were longer, while the hospitalization rate for over 30 days (ACDF/LAMP = 4.67%/7.41%, p = 0.0429) and unplanned reoperation (ACDF/LAMP = 6.12%/9.34%, p = 0.0336) were higher in LAMP. Results also indicated congestive heart failure as a risk factor (adjusted OR = 123.402, p = 0.0002). Conclusively, multilevel ACDF may be a safer surgical approach than LAMP for CSM in terms of perioperative morbidities, including surgical wound infection, prolonged hospitalization, and unplanned reoperation. However, these approaches showed no significant differences in systemic complications and perioperative mortality.

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Section: Discussionmentioning

confidence: 99%

Postoperative 30-Day Comparative Complications of Multilevel Anterior Cervical Discectomy and Fusion and Laminoplasty for Cervical Spondylotic Myelopathy: An Evidence in Reaching Consensus

et al. 2023

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“…Smoking: Smoking contributes to many complications in the postoperative setting after cervical spine surgery including dysphagia as reported in multiple studies for patients undergoing ACSS. 6 For example, Hasan et al reported a greater incidence of dysphagia in smokers (51%) compared with nonsmokers (28%) in their study of 165 patients who underwent ACSS. Lateral radiograph (A) and sagittal CT scan (B) of a patient with chronic dysphagia due to plate prominence; the patient also had C7-T1 pseudarthrosis.…”

Section: Preoperativementioning

confidence: 96%

“…14,16 Pathophysiology Dysphagia occurs when swallowing or deglutition is interrupted by neural, muscular, and/or mucosal abnormalities. 6,16 This complex process requires voluntary and involuntary responses that enable coordination of both swallowing and breathing. Deglutition is often divided into an oropharyngeal phase and esophageal phase.…”

Section: Incidencementioning

confidence: 99%

See 2 more Smart Citations

Dysphagia After Anterior Cervical Spine Surgery: Pathophysiology, Diagnosis, and Management

Le,

Javidan,

Khan

et al. 2024

J Am Acad Orthop Surg

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Anterior cervical spine surgery (ACSS) is a surgical intervention widely used for a myriad of indications including degenerative, oncologic, inflammatory, traumatic, and congenital spinal conditions. A primary concern for surgeons performing ACSS is the postoperative development of oropharyngeal dysphagia. Current literature reports a wide incidence of this complication ranging from 1 to 79%. Dysphagia after ACSS is multifactorial, with common risk factors being prolonged duration of operation, revision surgeries, multilevel surgeries, and use of recombinant human bone morphogenetic protein-2. Many technical strategies have been developed to reduce the risk of postoperative dysphagia, including the development of low-profile implants and retropharyngeal local steroid application. In this article, we review the most recent literature regarding the epidemiology and pathophysiology, diagnostic criteria, risk factors, and management of dysphagia after ACSS.

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Dysphagia Following Anterior Cervical Spine Surgery

Cited by 2 publications

References 52 publications

Postoperative 30-Day Comparative Complications of Multilevel Anterior Cervical Discectomy and Fusion and Laminoplasty for Cervical Spondylotic Myelopathy: An Evidence in Reaching Consensus

Postoperative 30-Day Comparative Complications of Multilevel Anterior Cervical Discectomy and Fusion and Laminoplasty for Cervical Spondylotic Myelopathy: An Evidence in Reaching Consensus

Dysphagia After Anterior Cervical Spine Surgery: Pathophysiology, Diagnosis, and Management

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