PMID- 35429793
OWN - NLM
STAT- MEDLINE
DCOM- 20220511
LR  - 20220511
IS  - 1532-2653 (Electronic)
IS  - 0967-5868 (Linking)
VI  - 100
DP  - 2022 Jun
TI  - Changes in intervertebral distraction: A possible factor for predicting dysphagia 
      after anterior cervical spinal surgery.
PG  - 82-88
LID - S0967-5868(22)00146-1 [pii]
LID - 10.1016/j.jocn.2022.03.044 [doi]
AB  - OBJECTIVE: Dysphagia following anterior cervical spine surgery (ACSS) is common. 
      This study aimed to determine if change in intervertebral distraction following 
      ACSS is associated with early dysphagia. METHODS: We retrospectively examined 
      patients who underwent ACSS for myelopathy and/or radiculopathy in our 
      institution. The Bazaz score and the Chinese version of the Swallowing-Quality of 
      Life survey were used to assess postoperative swallowing function. Change in 
      intervertebral distraction was defined as the difference between the preoperative 
      and postoperative mean values of the anterior and posterior intervertebral 
      distances at the surgical site. Potential risk factors examined included age, 
      gender, body mass index, operative time, blood loss volume, level of surgery, as 
      well as radiographic data including Cobb angle, T1 slope, sagittal vertical axis, 
      and intervertebral distraction. RESULTS: Among the 289 patients, the incidence of 
      dysphagia was 58.1% 1 week after ACSS. Patients who underwent surgery involving 
      C3/4 or involving three or more levels had worse Swallowing-Quality of Life and 
      Bazaz scores. The optimal cutoff value for change in intervertebral distraction 
      for predicting dysphagia 1 week after surgery was 6.10 mm. Change in 
      intervertebral distraction >/= 6.10 mm, surgery involving C3/4, and surgery 
      involving three or more levels were significantly and independently associated 
      with early dysphagia. CONCLUSION: A correlation between early dysphagia and 
      change in intervertebral distraction >/= 6.10 mm could be confirmed. In addition, 
      patients undergoing ACSS involving C3-4 or multilevel surgery (>/=3) must be 
      monitored carefully postoperatively for dysfunctional swallowing.
CI  - Copyright (c) 2022 Elsevier Ltd. All rights reserved.
FAU - Yi, Yu-Yang
AU  - Yi YY
AD  - Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji 
      University, Shanghai 200092, China.
FAU - Chen, Hao
AU  - Chen H
AD  - Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji 
      University, Shanghai 200092, China.
FAU - Xu, Hao-Wei
AU  - Xu HW
AD  - Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji 
      University, Shanghai 200092, China.
FAU - Zhang, Shu-Bao
AU  - Zhang SB
AD  - Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji 
      University, Shanghai 200092, China.
FAU - Wang, Shan-Jin
AU  - Wang SJ
AD  - Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji 
      University, Shanghai 200092, China; Department of Orthopedic, Shanghai East 
      Hospital, Ji'an Hospital, Jinggangshan University School of Medicine, Jiangxi, 
      China. Electronic address: kingspine@163.com.
LA  - eng
PT  - Journal Article
DEP - 20220413
PL  - Scotland
TA  - J Clin Neurosci
JT  - Journal of clinical neuroscience : official journal of the Neurosurgical Society 
      of Australasia
JID - 9433352
SB  - IM
MH  - Cervical Vertebrae/diagnostic imaging/surgery
MH  - *Deglutition Disorders/diagnostic imaging/etiology
MH  - Diskectomy/adverse effects
MH  - Humans
MH  - Postoperative Complications/diagnostic imaging/epidemiology/etiology
MH  - Quality of Life
MH  - Retrospective Studies
MH  - *Spinal Fusion/adverse effects
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Anterior cervical spinal surgery
OT  - C3/4
OT  - Dysphagia
OT  - Intervertebral distraction
OT  - Risk factor
EDAT- 2022/04/17 06:00
MHDA- 2022/05/12 06:00
CRDT- 2022/04/16 20:12
PHST- 2021/09/09 00:00 [received]
PHST- 2022/03/27 00:00 [revised]
PHST- 2022/03/30 00:00 [accepted]
PHST- 2022/04/17 06:00 [pubmed]
PHST- 2022/05/12 06:00 [medline]
PHST- 2022/04/16 20:12 [entrez]
AID - S0967-5868(22)00146-1 [pii]
AID - 10.1016/j.jocn.2022.03.044 [doi]
PST - ppublish
SO  - J Clin Neurosci. 2022 Jun;100:82-88. doi: 10.1016/j.jocn.2022.03.044. Epub 2022 
      Apr 13.