PMID- 35577336
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220721
IS  - 2586-6583 (Print)
IS  - 2586-6591 (Electronic)
IS  - 2586-6591 (Linking)
VI  - 19
IP  - 2
DP  - 2022 Jun
TI  - What Type of Incision for Anterior Cervical Spine Surgery Involving Long Segments 
      Can Bring Better Cosmetic and Functional Outcomes?
PG  - 412-421
LID - 10.14245/ns.2143260.630 [doi]
AB  - OBJECTIVE: To determine whether double transverse incisions could provide 
      superior cosmetic and functional outcomes, including rates of dysphagia and 
      dysphonia, compared with longitudinal incisions in patients undergoing anterior 
      cervical spine surgery (ACSS) involving >/= 3 levels. METHODS: A total of 62 
      consecutive patients who underwent ACSS involving >/= 3 levels were included in 
      this study. They consist of 33 with longitudinal incisions (L group) and 29 with 
      double transverse incisions (DT group). We recorded functional outcome measures 
      including the Bazaz score for postoperative dysphagia and the Voice Handicap 
      Index-10 (VHI-10) for postoperative dysphonia. The Vancouver Scar Scale (VSS) and 
      the patient and observer scar assessment scale (POSAS) were used to evaluate 
      postoperative skin scarring. RESULTS: Cosmetic results, as assessed using the VSS 
      and POSAS, were significantly better in the DT than in the L group at most 
      follow-up time points (p < 0.01 each). Dysphagia rates were significantly lower 
      in the DT group than in the L group during the late postoperative period from 6 
      months until final 2 years of follow-up (p < 0.01 each). There were no 
      significant different results between the 2 groups in terms of dysphonia. 
      CONCLUSION: A double transverse incision can be a feasible option when performing 
      ACSS involving >/= 3 levels, providing better cosmesis and lower rates of 
      persistent dysphagia than with a longitudinal incision.
FAU - Lee, Hyung Rae
AU  - Lee HR
AD  - Department of Orthopedic Surgery, Uijeongbu Eulji Medical Center, Uijeongbu, 
      Korea.
FAU - Lee, Dong-Ho
AU  - Lee DH
AD  - Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Korea.
FAU - Seok, Sang Yun
AU  - Seok SY
AD  - Department of Orthopedic Surgery, Daejeon Eulji Medical Center, Daejeon, Korea.
FAU - Park, Sehan
AU  - Park S
AD  - Department of Orthopedic Surgery, Dongguk University Ilsan Hospital, Goyang, 
      Korea.
FAU - Cho, Jae Hwan
AU  - Cho JH
AD  - Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Korea.
FAU - Hwang, Chang Ju
AU  - Hwang CJ
AD  - Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Korea.
FAU - Lee, Choon Sung
AU  - Lee CS
AD  - Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan 
      College of Medicine, Seoul, Korea.
LA  - eng
PT  - Journal Article
DEP - 20220513
PL  - Korea (South)
TA  - Neurospine
JT  - Neurospine
JID - 101724936
PMC - PMC9260544
OTO - NOTNLM
OT  - Anterior cervical spine surgery
OT  - Double transverse incision
OT  - Dysphagia
OT  - Dysphonia
OT  - Skin scarring
COIS- Conflict of Interest The authors have nothing to disclose.
EDAT- 2022/05/17 06:00
MHDA- 2022/05/17 06:01
PMCR- 2022/06/01
CRDT- 2022/05/16 19:47
PHST- 2021/12/12 00:00 [received]
PHST- 2022/03/02 00:00 [accepted]
PHST- 2022/05/17 06:00 [pubmed]
PHST- 2022/05/17 06:01 [medline]
PHST- 2022/05/16 19:47 [entrez]
PHST- 2022/06/01 00:00 [pmc-release]
AID - ns.2143260.630 [pii]
AID - ns-2143260-630 [pii]
AID - 10.14245/ns.2143260.630 [doi]
PST - ppublish
SO  - Neurospine. 2022 Jun;19(2):412-421. doi: 10.14245/ns.2143260.630. Epub 2022 May 
      13.