PMID- 36447810
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221202
IS  - 2772-5391 (Electronic)
IS  - 2772-5383 (Print)
IS  - 2772-5383 (Linking)
VI  - 24
IP  - 1
DP  - 2021
TI  - Characterization of dysphagia following anterior cervical spine surgery.
PG  - 55-62
LID - 10.3233/acs-210034 [doi]
AB  - BACKGROUND: Post-operative dysphagia is one of the most common complications of 
      anterior cervical spine surgery (ACSS). OBJECTIVE: Examine post-operative 
      structural and physiologic swallowing changes in patients with dysphagia 
      following ACSS as compared with healthy age and gender matched controls. METHODS: 
      Videofluoroscopic swallow studies of adults with dysphagia after ACSS were 
      retrospectively reviewed. Seventy-five patients were divided into early (</=2 
      months) and late (> 2 months) post-surgical groups. Modified Barium Swallow 
      Impairment Profile (MBSImP), Penetration-Aspiration Scale (PAS) scores, and 
      pharyngeal wall thickness (PWT) metrics were compared. RESULTS: Significant 
      differences were identified for all parameters between the control and early 
      post-operative group. MBSImP Pharyngeal Total (PT) scores were greater in the 
      early group (Interquartile Range (IQR) = 9-14, median = 12) versus controls (4-7, 
      5, P < 0.001) and late group (0.75-7.25, 2, P < 0.001). The early group had 
      significantly higher maximum PAS scores (IQR = 3-8, median = 7) than both the 
      control group (1-2, 1, P < 0.001) and late post-operative group (1-1.25, 1, P < 
      0.001). PWT was significantly greater in the early (IQR = 11.12-17.33 mm, median 
      = 14.32 mm) and late groups (5.31-13.01, 9.15 mm) than controls (3.81-5.41, 4.68 
      mm, P < 0.001). CONCLUSION: Dysphagic complaints can persist more than two months 
      following ACSS, but often do not correlate with validated physiologic swallowing 
      dysfunction on VFSS. Future studies should focus on applications of newer 
      technology to elucidate relevant deficits.
FAU - Ziegler, John P
AU  - Ziegler JP
AD  - Medical University of South Carolina, Charleston, SC, USA.
FAU - Davidson, Kate
AU  - Davidson K
AD  - Medical University of South Carolina, Charleston, SC, USA.
FAU - Cooper, Rebecca L
AU  - Cooper RL
AD  - Orlando Healthcare Systems, Orlando, FL, USA.
FAU - Garand, Kendrea L
AU  - Garand KL
AD  - University of South Alabama, Mobile, AL, USA.
FAU - Nguyen, Shaun A
AU  - Nguyen SA
AD  - Medical University of South Carolina, Charleston, SC, USA.
FAU - Yuen, Erick
AU  - Yuen E
AD  - Medical University of South Carolina, Charleston, SC, USA.
FAU - Martin-Harris, Bonnie
AU  - Martin-Harris B
AD  - Northwestern University, Evanston, IL, USA.
FAU - O'Rourke, Ashli K
AU  - O'Rourke AK
AD  - Medical University of South Carolina, Charleston, SC, USA.
LA  - eng
GR  - IK1 RX001628/RX/RRD VA/United States
GR  - K24 DC012801/DC/NIDCD NIH HHS/United States
GR  - TL1 TR000061/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20211109
PL  - Netherlands
TA  - Adv Comm Swallowing
JT  - Advances in communication and swallowing
JID - 9918504887506676
PMC - PMC9703912
MID - NIHMS1850122
OTO - NOTNLM
OT  - Dysphagia
OT  - adults
OT  - fluoroscopy
OT  - healthy
OT  - spinal fusion
OT  - swallowing disorders
COIS- Conflict of interest The authors have no conflicts of interest to report. Given 
      her role as an Editorial Board Member, Ashli K. O'Rourke had no involvement nor 
      access to information regarding the peer review of this article.
EDAT- 2021/01/01 00:00
MHDA- 2021/01/01 00:01
PMCR- 2022/11/28
CRDT- 2022/11/30 02:00
PHST- 2022/11/30 02:00 [entrez]
PHST- 2021/01/01 00:00 [pubmed]
PHST- 2021/01/01 00:01 [medline]
PHST- 2022/11/28 00:00 [pmc-release]
AID - 10.3233/acs-210034 [doi]
PST - ppublish
SO  - Adv Comm Swallowing. 2021;24(1):55-62. doi: 10.3233/acs-210034. Epub 2021 Nov 9.