High Prevalence of Laryngopharyngeal Reflux Disease in Patients With Lumbar Kyphosis

Matsuzaki, Hiromi; Makiyama, Kiyoshi; Hoshino, Masahiro; Oshima, Takeshi

doi:10.1016/j.jvoice.2015.11.013

Cited by 1 publication

(2 citation statements)

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“…Severe thoracic curve impairment induces respiratory dysfunction due to chest cage deformity [1]. GERD, laryngopharyngeal reflux disease, and pelvic organ prolapse are induced by a deformed or compressed thoracoabdominal cavity [2][3][4][5][6]. Previous studies have reported that degenerative scoliosis, kyphotic deformity due to vertebral fractures, poor sagittal balance, and decreased back muscle strength are important risk factors for the development of GERD symptoms in the middle-aged or elderly population [2,6].…”

Section: Discussionmentioning

confidence: 99%

“…As patients with adult spinal deformity (ASD) have various symptoms, we should understand and evaluate these symptoms carefully. These might include gastroesophageal reflux disease (GERD), respiratory dysfunction, laryngopharyngeal reflux disease, and pelvic organ prolapse due to deformed or compressed thoracoabdominal cavity [1][2][3][4][5]. GERD is reported as one of the complications of ASD, especially in patients with thoracolumbar kyphosis due to vertebral fracture [6].…”

Section: Introductionmentioning

confidence: 99%

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Impact of adult spinal deformity corrective surgery in patients with the symptoms of gastroesophageal reflux disease: a 5-year follow-up report

et al. 2020

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Purpose Gastroesophageal reflux disease (GERD) is reported as one of the symptoms of adult spinal deformity (ASD). Little is known about the mid-to long-term improvement in GERD symptoms after ASD surgery. Therefore, this retrospective study from prospectively collected database aimed to investigate GERD symptoms in patients for a minimum of 2 years after ASD corrective surgery. Methods Records from 230 patients (mean age: 64 years) who underwent ASD surgery were examined using the frequency scale for the symptoms of GERD (FSSG) questionnaires for the diagnosis of GERD. FSSG scores and radiographic parameters were investigated preoperatively and postoperatively at 6 months and 1, 2, and 5 years. Results In total, 90 (39%) patients were preoperatively diagnosed with GERD defined by FSSG score ≥ 8 points. Radiographic results showed that the corrective surgeries improved local and global alignments. In the GERD patients, preoperative FSSG scores (16.1 ± 7.3 points) significantly improved to 7.7 ± 7.4 points within 6 months postoperatively (p < 0.001), and postoperative FSSG scores maintained at 1 year (9.9 ± 8.2 points, p = 0.061), 2 years (9.7 ± 8.2 points, p = 0.086), and 5 years (9.4 ± 8.0 points, p = 0.177). Among the GERD group, 62 patients (69%; improvement cases) showed improvement in GERD symptoms defined by FSSG score < 8 points within 6 months postoperatively. Conclusions Among ASD patients, 39% were diagnosed with GERD. In 69% of these patients, GERD symptoms improved within 6 months of corrective surgery and maintained up to 5 years postoperatively.

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