Incidence of Dysphagia After Anterior Cervical Spine Surgery

Bazaz, Rajesh; Lee, Michael J.; Yoo, Jung U.

doi:10.1097/00007632-200211150-00007

Cited by 584 publications

(577 citation statements)

References 14 publications

Supporting

Mentioning

530

Contrasting

Unclassified

Order By: Relevance

“…He presented a weakness of his upper extremities and his mJOA decreased from 15 preoperatively to 13 at 2-year follow-up. Some authors [18] reported a 20 % incidence of dysphagia at 6 months after corpectomy. In our series, only one patient presented a severe dysphagia, which resolved at 6 weeks.…”

Section: Clinical Improvementmentioning

confidence: 99%

Relevance of expandable titanium cage for the treatment of cervical spondylotic myelopathy

Zaïri

Aboukaïs²,

Thines³

et al. 2012

Eur Spine J

View full text Add to dashboard Cite

Background In patients with cervical spondylotic myelopathy, ventral disease and loss of physiological cervical lordosis are indications for anterior approach. As bone graft and titanium cage present many drawbacks, expandable titanium cage has been recently introduced for this indication. The authors present the clinical and radiological outcomes in patients undergoing the placement of an expandable cage in the treatment of spondylotic myelopathy with straight or kyphotic cervical spine alignment. Methods This was a retrospective review of prospectively collected data. A total of 26 patients underwent cervical corpectomy and reconstruction using an expandable titanium cage and anterior plate between 2005 and 2008. Pain and functional disability were measured using VAS and mJOA preoperatively and at 3 months, 6 months, 1 year and 2 years. Kyphosis was measured using lateral radiographs at the same points of follow-up. Fusion was evaluated on flexion-extension radiographs at 2 years. Results The mean VAS improved from 4.2 to 1.7 and the mean mJOA increased from 12.85 to 16.04 at 2 years postoperatively (p \ 0.05). The mean kyphosis angle decreased from 17°to 2°at the last follow-up (p \ 0.05). The fusion rate was 100 % at 2 years. Three complications were reported including a transient dysphagia, an epidural hematoma and an early hardware migration.Conclusion Expandable titanium cage is an effective device, which achieves good clinical and radiological outcomes at a minimum 2-year follow-up.

show abstract

Section: Clinical Improvementmentioning

confidence: 99%

Relevance of expandable titanium cage for the treatment of cervical spondylotic myelopathy

Zaïri

Aboukaïs²,

Thines³

et al. 2012

Eur Spine J

View full text Add to dashboard Cite

show abstract

“…Complications were assessed by reviewing the patients' medical records (Table 2). Dysphagia was evaluated using the dysphagia score proposed by Bazaz et al [22]. We considered the occasional sensation of dysphagia with solid foods as moderate and frequent episodes as severe.…”

Section: Outcomes Assessmentmentioning

confidence: 99%

Three- and four-level anterior cervical discectomy and fusion with a PEEK cage and plate construct

2012

View full text Add to dashboard Cite

Introduction Three-or four-level anterior cervical discectomy and fusion with autograft and plate fixation have demonstrated relatively good fusion rates and outcomes, but donor site morbidity and the limitations of autograft harvest remain problematic. The purpose of this study is to assess the radiographic and clinical outcomes of three-or four-level anterior cervical discectomy and fusion with a PEEK cage and plate construct. Methods This retrospective review included 43 consecutive patients who underwent three-or four-level anterior cervical discectomy and fusion with a PEEK cage and plate construct (three level: 39 cases, four level: 4 cases). The fusion rate, time to fusion, Cobb angle and disc height were assessed radiographically. Clinical outcomes were evaluated with the VAS, NDI, and SF36 scores. Complications were also recorded. Results Solid fusion was achieved in all the patients, and mean time to fusion was 13.7 ± 5.1 weeks. The postoperative Cobb angle, lordotic angle, and disc height (5.6°, 10.5°a nd 3.15 mm, respectively) increased significantly compared to preoperative values (p = 0.038, p = 0.032, and p = 0.0004, respectively), and these improvements were maintained through final follow-up. The postoperative NDI (17.2), VAS (2.8), and SF36 (13.1) scores increased significantly compared to the preoperative scores (p = 0.026, p = 0.0007 and p = 0.041, respectively). Complications included three cases of respiratory difficulty, four cases of dysphagia and one case of hoarseness. There were no cases of donor site morbidity. Conclusions Three-or four-level anterior cervical discectomy and fusion with a PEEK cage, and plate construct provide good clinical and radiographic outcomes including high fusion rates, low complication rates, low donor site morbidity, and good maintenance of the lordotic angle and disc height in the treatment of multilevel cervical spondylosis.

show abstract

“…The subjective perception of overall outcome was rated by the patients at follow-up as excellent, good, moderate, or poor. The incidence of dysphagia was evaluated with the grading system of Bazaz et al [8] that defines four grades: none, mild, moderate, or severe dysphagia based on subjective symptoms calculated by distinct combinations of existing difficulties with liquid and solid nutrition.…”

Section: Clinical Outcomementioning

confidence: 99%

Mid- to long-term outcome of instrumented anterior cervical fusion for subaxial injuries

et al. 2009

View full text Add to dashboard Cite

The management of patients with subaxial cervical injuries lacks consensus, particularly in regard to the decision which surgical approach or combination of approaches to use and which approach yields the best clinical outcome in the distinct injury. The trauma literature is replete with reports of surgical techniques, complications and gross outcome assessment in heterogeneous samples. However, data on functional and clinical outcome using validated outcome measures are scanty. Therefore, the authors performed a study on plated anterior cervical decompression and fusion for unstable subaxial injuries with focus on clinical outcome. For the purpose of a strongly homogenous subgroup of patients with subaxial injuries without spinal cord injuries, robust criteria were applied that were fulfilled by 28 patients out of an original series of 131 subaxial injuries. Twenty-six patients subjected to 1-and 2-level fusions without having spinal cord injury could be surveyed after a mean of 5.5 years (range 16-128 months). The cervical spine injury severity score averaged 9.6. Cross-sectional outcome assessment included validated outcome measures (Neck pain disability index, Cervical Spine Outcome Questionnaire, SF-36), the investigation of construct failure and successful surgical outcome were defined by strict criteria, the reconstruction and maintenance of local and total cervical lordosis, adjacent-segment degeneration and intervertebral motion, and the fusion-rate using an interobserver assessment. Selfrated clinical outcome was excellent or good in 81% of patients and moderate or poor in 19% that corresponded to the results of the validated outcome measures. Results of the NPDI averaged 12.4 ± 12.7% (0-40). With the SF-36 mean physical and mental component summary scores were 47.0 ± 9.8 (18.2-59.3) and 52.2 ± 12.4 (14.6-75.3), respectively. Using merely non-constrained plates, construct failure was observed in 31% of cases and loss of local lordosis, expressed as a mean injury angle of 14°, postoperative angle of -5.5°and follow-up angle of -1°, was significant. However, total cervical lordosis was within the limits of normalcy (-24.3°± 13.3) and fusion-rate was 88.5%. The progression of adjacent-level degeneration was shown to be significantly influenced by a decreased plate-to-disc-distance. Adjacent-level intervertebral motion was not altered due to the adjacent fusion, but reduced in Electronic supplementary material The online version of this article

show abstract

Incidence of Dysphagia After Anterior Cervical Spine Surgery

Cited by 584 publications

References 14 publications

Relevance of expandable titanium cage for the treatment of cervical spondylotic myelopathy

Relevance of expandable titanium cage for the treatment of cervical spondylotic myelopathy

Three- and four-level anterior cervical discectomy and fusion with a PEEK cage and plate construct

Mid- to long-term outcome of instrumented anterior cervical fusion for subaxial injuries

Contact Info

Product

Resources

About