Dysphagia secondary to anterior cervical fusion: radiologic evaluation and findings in 74 patients

AJR. American Journal of Roentgenology
Laura R CarucciC Fitzhugh Yeatman

Abstract

The objective of our study was to assess the frequency, cause, and time course of dysphagia after anterior cervical fusion (ACF). A review of the surgical database revealed that 1789 patients underwent ACF procedures during the 8-year study period. A radiologic database review indicated that 80 of the 1789 patients underwent radiologic evaluation for the assessment of dysphagia after ACF. Three patients were excluded from the study because they had a history of dysphagia before ACF, and three additional patients were excluded because they had more recently undergone Nissen fundoplication, intubation, and radiation therapy, respectively. Modified barium swallow (MBS) studies and esophagrams of the 74 remaining patients were collected and analyzed to determine the cause of dysphagia and time course of dysphagia onset after surgery. Dysphagia was evaluated radiologically in 74 of the 1789 ACF patients (4.1%) using video MBS studies (n=66) and esophagography (n=26). Patients underwent radiologic evaluation from 1 to 1150 days after surgery (mean, 120 days after surgery); 76% of the patients presented more than 2 weeks after surgery. The location of the ACF in the study group was the upper, mid, and lower cervical spine in 5.4% (n=4...Continue Reading

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Citations

May 13, 2017·The Spine Journal : Official Journal of the North American Spine Society·Seok Woo KimJi Hyo Hwang
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Jun 25, 2020·Clinical Case Reports·Reza AlizadehSaeid Marzban-Rad
May 2, 2018·Abdominal Radiology·Daniel T Dempsey
Apr 23, 2020·Neurosurgical Review·Santiago GutierrezR Shane Tubbs

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