Prospective analysis of incidence and risk factors of dysphagia in spine surgery patients: comparison of anterior cervical, posterior cervical, and lumbar procedures

Spine
Carol A Smith-HammondDennis A Turner

Abstract

A 3-year prospective, cohort study. To compare the incidence and risk factors of dysphagia after anterior cervical (AC), posterior cervical (PC), and posterior lumbar (PL) spine procedures. Dysphagia is a known risk of AC surgery; however, comprehensive postoperative swallow evaluations have not been performed for a comparative cohort of AC, PC, and PL surgery patients. Eighty-three patients were enrolled in the study, including 38 undergoing AC, 19 PC, and 26 PL procedures. Preoperative and postoperative swallowing evaluations were performed by questioning for subjective swallowing complaints and performing objective radiographic examination. Patients with severe dysphagia leading to an increased risk of aspiration were identified and treated until recovery or for 3 to 9 months. Comparison of preoperative and postoperative swallowing complaints revealed a significant increase for AC patients (P < 0.01) and a trend for PC (P = 0.06) and PL (P = 0.09) patients. Eighteen (47%) AC, 4 (21%) PC, but no PL patients demonstrated dysphagia on postoperative videofluoroscopic swallow evaluation. Age (>60 years, P < 0.01) was associated with increased risk of radiologic evidence of dysphagia. Surgical level, instrumentation, operative tim...Continue Reading

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Citations

Feb 24, 2015·Case Reports in Orthopedics·Amit NathaniRakesh D Patel
Feb 5, 2005·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·Wai-Mun YueThomas R Highland
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Sep 3, 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·Kojiro MekataYasuo Ito
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May 20, 2017·Clinical Spine Surgery : a Spine Publication·Bing WuShourong Zhu
Nov 25, 2017·Journal of Back and Musculoskeletal Rehabilitation·Tao LanYang Chen
May 26, 2018·Global Spine Journal·Rafael De la Garza-RamosDaniel M Sciubba
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Jan 12, 2007·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·Henry E AryanChristopher P Ames
Mar 14, 2007·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·Alfred L RhyneFaisal Siddiqui
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Oct 1, 2010·Clinical Orthopaedics and Related Research·M ScholzF Kandziora
Feb 24, 2011·Spine·Justin M HallerFrancis H Shen

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