PMID- 28267777
OWN - NLM
STAT- MEDLINE
DCOM- 20170825
LR  - 20190208
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 3
DP  - 2017
TI  - The incidences and risk factors related to early dysphagia after anterior 
      cervical spine surgery: A prospective study.
PG  - e0173364
LID - 10.1371/journal.pone.0173364 [doi]
LID - e0173364
AB  - Dysphagia is a common complication following anterior cervical spine surgery 
      (ACSS). The incidences of dysphagia were variable and controversial. The purpose 
      of this study was to determine the incidence of early dysphagia after ACSS with a 
      new scoring system, and to identify the risk factors of it. A prospective study 
      was carried out and patients who underwent ACSS from March 2014 to August 2014 in 
      our hospital were included in this study. A self-designed dysphagia questionnaire 
      was delivered to all of the patients from the first day to the fifth day after 
      ACSS. Perioperative characteristics of patients were recorded, and incidences and 
      risk factors of dysphagia were analyzed. A total of 104 patients who underwent 
      ACSS were included and incidences of dysphagia from the first to the fifth day 
      after ACSS was 87.5%, 79.81%, 62.14%, 50% and 44.23%, respectively. There was a 
      good correlation between the new dysphagia scoring system and Bazaz scoring 
      system (P < 0.001). Operative time and body mass index (BMI) were the risk 
      factors for dysphagia during the first to the second day postoperatively. 
      However, the dC2-C7angle was the main risk factor for dysphagia from the third to 
      the fifth day after surgery. There were comparatively high incidences of early 
      dysphagia after ACSS, which may be ascribed to operative time, BMI and the dC2-C7 
      angle.
FAU - Liu, Jia-Ming
AU  - Liu JM
AD  - Department of Orthopaedic Surgery, the First Affiliated Hospital of Nanchang 
      University, Nanchang, PR. China.
FAU - Tong, Wei-Lai
AU  - Tong WL
AD  - Department of Orthopaedic Surgery, the First Affiliated Hospital of Nanchang 
      University, Nanchang, PR. China.
FAU - Chen, Xuan-Yin
AU  - Chen XY
AD  - Department of Orthopaedic Surgery, the First Affiliated Hospital of Nanchang 
      University, Nanchang, PR. China.
FAU - Zhou, Yang
AU  - Zhou Y
AD  - Department of Orthopaedic Surgery, the First Affiliated Hospital of Nanchang 
      University, Nanchang, PR. China.
FAU - Chen, Wen-Zhao
AU  - Chen WZ
AD  - Department of Orthopaedic Surgery, the First Affiliated Hospital of Nanchang 
      University, Nanchang, PR. China.
FAU - Huang, Shan-Hu
AU  - Huang SH
AD  - Department of Orthopaedic Surgery, the First Affiliated Hospital of Nanchang 
      University, Nanchang, PR. China.
FAU - Liu, Zhi-Li
AU  - Liu ZL
AD  - Department of Orthopaedic Surgery, the First Affiliated Hospital of Nanchang 
      University, Nanchang, PR. China.
LA  - eng
PT  - Journal Article
DEP - 20170307
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cervical Vertebrae/*surgery
MH  - Deglutition Disorders/diagnosis/*epidemiology/*etiology
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - *Postoperative Complications
MH  - Risk Factors
MH  - Time Factors
MH  - Young Adult
PMC - PMC5340385
COIS- Competing Interests: The authors have declared that no competing interests exist.
EDAT- 2017/03/08 06:00
MHDA- 2017/08/26 06:00
PMCR- 2017/03/07
CRDT- 2017/03/08 06:00
PHST- 2016/10/28 00:00 [received]
PHST- 2017/02/20 00:00 [accepted]
PHST- 2017/03/08 06:00 [entrez]
PHST- 2017/03/08 06:00 [pubmed]
PHST- 2017/08/26 06:00 [medline]
PHST- 2017/03/07 00:00 [pmc-release]
AID - PONE-D-16-43042 [pii]
AID - 10.1371/journal.pone.0173364 [doi]
PST - epublish
SO  - PLoS One. 2017 Mar 7;12(3):e0173364. doi: 10.1371/journal.pone.0173364. 
      eCollection 2017.