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Dysphagia after anterior cervical spine surgery: incidence and risk factors.
- Source :
-
World neurosurgery [World Neurosurg] 2012 Jan; Vol. 77 (1), pp. 183-7. Date of Electronic Publication: 2011 Nov 15. - Publication Year :
- 2012
-
Abstract
- Objective: To evaluate risk factors for the development of dysphagia after anterior cervical surgery.<br />Methods: The records of 249 patients who underwent anterior cervical surgery were reviewed. The presence and severity of dysphagia were assessed with the Dysphagia Disability Index 6 weeks and 3, 6, and 12 months after surgery. Age; sex; ethnicity; cigarette smoking; previous cervical surgeries; reoperation for same pathology; type of procedure, incision, and instrumentation; number and levels involved; side of procedure, length of surgery; and use of postoperative bracing were analyzed.<br />Results: During the first 6 months after surgery, 27 (10.8%) patients developed dysphagia. From these patients the presence of dysphagia at 6 weeks and at 3 and 6 months was 88.8%, 29.6%, and 7.4%, respectively. By 12 months, dysphagia had resolved in all cases. The mean age of patients with dysphagia was 55 years (SD 12.98) and 50 years (SD 12.07) in patients without dysphagia (P = 0.05). Dysphagic patients had an average of 2.2 (SD 1.15) levels operated compared with 1.84 (SD 0.950) in nondysphagic patients (P = 0.05). Patients who developed dysphagia were most often treated at C4-5 (67%) and C5-6 (81%: P < 0.001). Although mean operative time was slightly longer in patients with dysphagia (186 minutes) compared with those without (169 minutes), the difference was not significant.<br />Conclusions: In our patients, the incidence of dysphagia was low, and it had completely resolved at 12 months in all cases. Risk factors for dysphagia were multilevel procedures, involvement of C4-5 and C5-6, and age.<br /> (Copyright © 2012 Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Age Factors
Aged
Bone Plates
Braces
Decompression, Surgical adverse effects
Disability Evaluation
Ethnicity
Female
Humans
Male
Middle Aged
Reoperation
Risk Factors
Sex Factors
Smoking adverse effects
Surveys and Questionnaires
Cervical Vertebrae surgery
Deglutition Disorders epidemiology
Deglutition Disorders etiology
Neurosurgical Procedures adverse effects
Postoperative Complications epidemiology
Postoperative Complications etiology
Spine surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1878-8769
- Volume :
- 77
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- World neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 22155226
- Full Text :
- https://doi.org/10.1016/j.wneu.2011.07.004