2018
DOI: 10.1055/s-0038-1653979
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Dyspnea in the Supine Position after Anterior Cervical Discectomy and Fusion

Abstract: Posterior occipitocervicothoracic fusion in a flexed position may cause dyspnea, and the onset of obstructive sleep apnea after anterior upper cervical fusion. However, there are no reports of dyspnea occurring after anterior lower cervical fusion. Here, we present an unusual case of dyspnea in the supine position after a C5-C6 anterior cervical discectomy and fusion.

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“…The association of dysphagia with OSA in these patients may point towards a possibility of damage to the pharyngeal plexus during the surgery. A case report by Zhang and associates indicated the development of positional dyspnea in a patient who underwent ACDF, likely due to swelling in the middle pharyngeal space [4]. There is a need for a prospective investigation to establish an association between ACDF and OSA and to determine if it is a transient or long-term complication.…”
Section: Discussionmentioning
confidence: 99%
“…The association of dysphagia with OSA in these patients may point towards a possibility of damage to the pharyngeal plexus during the surgery. A case report by Zhang and associates indicated the development of positional dyspnea in a patient who underwent ACDF, likely due to swelling in the middle pharyngeal space [4]. There is a need for a prospective investigation to establish an association between ACDF and OSA and to determine if it is a transient or long-term complication.…”
Section: Discussionmentioning
confidence: 99%