PMID- 32538988
OWN - NLM
STAT- MEDLINE
DCOM- 20210517
LR  - 20220415
IS  - 2444-054X (Electronic)
IS  - 0009-7411 (Linking)
VI  - 88
IP  - 3
DP  - 2020
TI  - Dysphagia rates after minimally invasive tubular approach to the anterior 
      cervical spine.
PG  - 286-291
LID - 10.24875/CIRU.19001257 [doi]
AB  - INTRODUCTION: Cervical spine surgery (anterior cervical spine surgery [ACSS]) is 
      a commonly indicated to provide neurological decompression, correct deformity, 
      and preserve stability. Current series report good to excellent results, but a 
      number of patients suffer from dysphagia with reported rates as high as 80%. 
      MATERIALS AND METHODS: Retrospective cohort of patients undergoing ACSS (anterior 
      cervical discectomy and fusion [ACDF]; and arthroplasty, total disc replacement 
      [TDR]) from 2013 to 2017 by a single surgeon. We collected demographic data, 
      surgical outcomes, clinical outcomes, and dysphagia incidence and magnitude 
      (visual analog scale [VAS]), we analyzed results with SPSS 22. RESULTS: A total 
      of 81 patients operated from 2013 to 2018, ACDF was performed in 70, and TDR was 
      performed in 11, mean surgical time was 156.8, mean neck pain and radicular pain 
      VAS reduced significantly in both groups (p < 0.01). Dysphagia was encountered in 
      18 ACDF patients, and one TDR patient. Overall dysphagia rate was 9.1% in day-1 
      post-operative, with mean 0.27 magnitude (standard deviation [SD] 0.4) in ACDF 
      group and 0.18 (0.6 SD) in TDR group, 1-month follow-up dysphagia rate was 0%. 
      CONCLUSIONS: Minimally invasive techniques may reduce post-operative dysphagia 
      related to soft-tissue trauma, to 9% in day-1 post-operative (as compared to 
      39%), and to 0% (as compared to 8.5% reported worldwide) by 1-month follow-up.
CI  - Copyright: (c) 2020 Permanyer.
FAU - Romero-Rangel, Jose A I
AU  - Romero-Rangel JAI
AD  - Centro Neurologico, American British Cowdray Medical Center IAP, Ciudad de 
      Mexico. Mexico.
AD  - Departamento de Ensenanza, Universidad de Sonora, Sonora.
FAU - Soriano-Solis, Sergio
AU  - Soriano-Solis S
AD  - Cirugia Ortopedica, Centro Neurologico, American British Cowdray Medical Center, 
      IAP, Ciudad de Mexico. Mexico.
FAU - Rodriguez-Garcia, Manuel
AU  - Rodriguez-Garcia M
AD  - Cirugia Ortopedica, Centro Neurologico, American British Cowdray Medical Center, 
      IAP, Ciudad de Mexico. Mexico.
FAU - Soto-Garcia, Manuel E
AU  - Soto-Garcia ME
AD  - Centro Neurologico, American British Cowdray Medical Center IAP, Ciudad de 
      Mexico. Mexico.
FAU - Soriano-Solis, Hector
AU  - Soriano-Solis H
AD  - Cirugia Ortopedica, Centro Neurologico, American British Cowdray Medical Center, 
      IAP, Ciudad de Mexico. Mexico.
FAU - Aranda-Torres, Briscia Y
AU  - Aranda-Torres BY
AD  - Centro Neurologico, American British Cowdray Medical Center IAP, Ciudad de 
      Mexico. Mexico.
AD  - Facultad de Ciencias Nutricionales, Universidad de Sonora (UNISON), Sonora, 
      Ciudad de Mexico. Mexico.
FAU - Soriano-Sanchez, Jose A
AU  - Soriano-Sanchez JA
AD  - Clinica de Cirugia de Columna Vertebral, Centro Neurologico, American British 
      Cowdray Medical Center, IAP, Ciudad de Mexico. Mexico.
LA  - eng
PT  - Journal Article
TT  - Tasas de disfagia posoperatoria en el abordaje tubular minimamente invasivo de la 
      columna cervical anterior.
PL  - Mexico
TA  - Cir Cir
JT  - Cirugia y cirujanos
JID - 0372736
SB  - IM
MH  - Adult
MH  - Cervical Vertebrae/*surgery
MH  - Deglutition Disorders/*epidemiology/etiology/prevention & control
MH  - Diskectomy/adverse effects
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimally Invasive Surgical Procedures/adverse effects
MH  - Pain, Postoperative/epidemiology/etiology
MH  - Postoperative Complications/*epidemiology/etiology
MH  - Retrospective Studies
MH  - Spinal Fusion/adverse effects
MH  - Total Disc Replacement/adverse effects
OTO - NOTNLM
OT  - Anterior cervical
OT  - Anterior cervical spine surgery
OT  - Cervical anterior
OT  - Cirugia cervical anterior
OT  - Cirugia de columna
OT  - Disfagia
OT  - Dysphagia
OT  - Minimally invasive
OT  - Minimamente invasiva
OT  - Spine surgery
OT  - Tubular
EDAT- 2020/06/17 06:00
MHDA- 2021/05/18 06:00
CRDT- 2020/06/16 06:00
PHST- 2020/06/16 06:00 [entrez]
PHST- 2020/06/17 06:00 [pubmed]
PHST- 2021/05/18 06:00 [medline]
AID - j88/3/286 [pii]
AID - 10.24875/CIRU.19001257 [doi]
PST - ppublish
SO  - Cir Cir. 2020;88(3):286-291. doi: 10.24875/CIRU.19001257.