PMID- 36892830 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231003 IS - 2192-5682 (Print) IS - 2192-5690 (Electronic) IS - 2192-5682 (Linking) VI - 13 IP - 8 DP - 2023 Oct TI - Airway Complications After Anterior Cervical Spine Surgery: Etiology and Risk Factors. PG - 2526-2540 LID - 10.1177/21925682231160072 [doi] AB - STUDY DESIGN: Narrative Review. OBJECTIVE: To provide an overview of etiology and risk factors of airway complications after anterior cervical spine surgery (ACSS). METHODS: A search was performed in PubMed and adapted for use in other databases, including Embase, Cochrane Library, Cochrane Register of Controlled Trials, Health Technology Assessment database, and NHS Economic Evaluation Database. RESULTS: 81 full-text studies were reviewed. A total of 53 papers were included were included in the review and an additional four references were extracted from other references. 39 papers were categorized as etiology and 42 as risk factors. CONCLUSIONS: Most of the literature on airway compromise after ACSS is level III or IV evidence. Currently, there are no systems in place to risk-stratify patients undergoing ACSS regarding airway compromise or guidelines on how to manage patients when these complications do occur. This review focused on theory, primarily etiology and risk factors. FAU - Colon, Luis Felipe AU - Colon LF AUID- ORCID: 0000-0003-2599-8367 AD - Department of Orthopaedic Surgery, University of Tennessee College of Medicine in Chattanooga, Chattanooga, TN, USA. RINGGOLD: 70274 FAU - Barber, Lauren AU - Barber L AUID- ORCID: 0000-0002-6772-8392 AD - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA. RINGGOLD: 25062 FAU - Soffin, Ellen AU - Soffin E AUID- ORCID: 0000-0002-2496-7174 AD - Department of Anesthesiology, Critical Care, and Pain Management; Hospital for Special Surgery, New York, NY, USA. RINGGOLD: 25062 FAU - Albert, Todd J AU - Albert TJ AD - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA. RINGGOLD: 25062 FAU - Katsuura, Yoshihiro AU - Katsuura Y AUID- ORCID: 0000-0001-7886-4720 AD - Department of Orthopaedic and Spine Surgery, Adventist Health Howard Memorial Hospital, Willits, CA, USA. RINGGOLD: 21842 LA - eng PT - Journal Article DEP - 20230309 PL - England TA - Global Spine J JT - Global spine journal JID - 101596156 PMC - PMC10538311 OTO - NOTNLM OT - Ossification of posterior longitudinal ligament OT - airway complications OT - airway compromise OT - anterior cervical discectomy and fusion OT - anterior cervical spine surgery OT - cerebrospinal fluid leak OT - obstructed airway OT - outpatient cervical spine surgery OT - postoperative hematoma OT - systematic review COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/03/10 06:00 MHDA- 2023/03/10 06:01 PMCR- 2023/03/09 CRDT- 2023/03/09 11:33 PHST- 2023/03/10 06:01 [medline] PHST- 2023/03/10 06:00 [pubmed] PHST- 2023/03/09 11:33 [entrez] PHST- 2023/03/09 00:00 [pmc-release] AID - 10.1177_21925682231160072 [pii] AID - 10.1177/21925682231160072 [doi] PST - ppublish SO - Global Spine J. 2023 Oct;13(8):2526-2540. doi: 10.1177/21925682231160072. Epub 2023 Mar 9.