Dysphagia and soft-tissue swelling after anterior cervical surgery: a radiographic analysis

The Spine Journal : Official Journal of the North American Spine Society
Christopher K KeplerAlan S Hilibrand

Abstract

Dysphagia is common in the early postoperative period after anterior cervical discectomy and fusion (ACDF). Several mechanisms, including soft-tissue swelling, have been implicated as a cause of postoperative dysphagia. To determine whether anterior soft-tissue swelling is greater in patients with postoperative dysphagia. Prospective cohort study. Forty-three patients. Validated dysphagia questionnaire, lateral cervical spine radiographs. Patients undergoing one- or two-level ACDF using allograft bone and anterior instrumentation were enrolled. Baseline patient demographic characteristics and history were recorded. A dysphagia questionnaire, including a dysphagia numeric rating scale (DNRS; range, 0-10), was administered preoperatively and 2 and 6 weeks postoperatively. Lateral cervical radiographs were obtained preoperatively and 2 and 6 weeks postoperatively. The anterior cervical soft-tissue shadow width was measured at each level. Patients were divided into groups based on the 2-week dysphagia questionnaire: Group 1 (no symptoms/mild dysphagia) and Group 2 (moderate/severe dysphagia). Anterior soft-tissue shadow width at each level was compared between groups. Correlation was used to assess the relationship between DNRS and...Continue Reading

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Citations

Oct 15, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Adam KhanPaul Park
Jun 21, 2014·The Spine Journal : Official Journal of the North American Spine Society·Aniruddh N NayakBrandon G Santoni
Feb 25, 2014·Journal of the Chinese Medical Association : JCMA·Ching-Kuo LinKing-Teh Lee
Oct 2, 2012·The Spine Journal : Official Journal of the North American Spine Society·Daniel K Resnick
Jul 15, 2015·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Kazunari KogureAkio Morita
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Aug 12, 2016·Indian Journal of Orthopaedics·Sun QizhiLi Jianmin
Jan 18, 2014·Global Spine Journal·Karen K Anderson, Paul M Arnold
Aug 20, 2014·Journal of Spinal Disorders & Techniques·Izabela KowalczykNeil Duggal
Oct 11, 2017·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jingwei LiuYangpu Zhang
Feb 10, 2018·Journal of Orthopaedic Surgery and Research·Ying-Zhao YanXiang-Yang Wang
Dec 7, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jingwei LiuBo Han
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Jun 9, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Yushi HoshinoAlexander P Hughes
Jan 29, 2013·Spine·Kristen E RadcliffJeffrey A Rihn

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