PMID- 37516144
OWN - NLM
STAT- MEDLINE
DCOM- 20231009
LR  - 20231009
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 178
DP  - 2023 Oct
TI  - Predictive Factors for Dysphagia After Anterior Cervical Spine Surgery: A 
      Prospective Multicenter Study.
PG  - e533-e539
LID - S1878-8750(23)01063-X [pii]
LID - 10.1016/j.wneu.2023.07.115 [doi]
AB  - OBJECTIVE: To identify the incidence and predictors of postoperative dysphagia in 
      patients who undergo anterior cervical spine surgery (ACSS) by utilizing the 
      Eating Assessment Tool (EAT-10). METHODS: A multicenter prospective study was 
      undertaken at three hospitals to evaluate patients undergoing ACSS between 
      January 2021 and January 2023. Included patients were aged 18-80 years and were 
      undergoing primary or revision ACSS. Dysphagia was assessed using the validated 
      EAT-10 questionnaire. Patients with dysphagia were included in the observation 
      group, and those without dysphagia were included in the control group. RESULTS: 
      Of the 343 patients enrolled, 50 patients (14.6%) had EAT-10 scores of 3 or more 
      at the 6-month follow-up. In the univariate analysis, patients with dysphagia at 
      7 days had a longer operative time, were current smokers, had involvement of 
      vertebral bodies at C4 and above, and underwent intraoperative neurophysiological 
      monitoring. Patients with dysphagia at 6 months had involvement of vertebral 
      bodies at C4 and above and underwent intraoperative neurophysiological 
      monitoring. In the multivariate analysis to determine associations with prolonged 
      dysphagia, only the involvement of vertebral bodies at C4 and above (odds ratio 
      3.883, 95% confidence interval 1.847-8.165, P = 0.001) and intraoperative 
      neurophysiological monitoring (odds ratio 0.273, 95% confidence interval 
      0.080-0.931, P = 0.038) remained significant. CONCLUSIONS: Dysphagia is common 
      after ACSS, affecting more than 67.5% of patients at 7 days postoperatively, but 
      over time, the incidence of dysphagia gradually decreases. Involvement of the 
      vertebral bodies at C4 and above is a risk factor for dysphagia after ACSS, and 
      intraoperative neurophysiological monitoring is a protective factor.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Chen, Yu
AU  - Chen Y
AD  - Army Medical University, Chongqing, China.
FAU - Zhu, Jingzhen
AU  - Zhu J
AD  - Department of Urology, Xinqiao Hospital, Army Medical University, Chongqing, 
      China.
FAU - Zhu, Fengzhao
AU  - Zhu F
AD  - Department of Orthopaedics, Xinqiao Hospital, Army Medical University, Chongqing, 
      China.
FAU - Feng, Chencheng
AU  - Feng C
AD  - Department of Orthopaedics, Xinqiao Hospital, Army Medical University, Chongqing, 
      China.
FAU - Luo, Chunmei
AU  - Luo C
AD  - Department of Orthopaedics, Xinqiao Hospital, Army Medical University, Chongqing, 
      China.
FAU - Song, Caiping
AU  - Song C
AD  - Department of Office of the Hospital, Xinqiao Hospital, Army Medical University, 
      Chongqing, China. Electronic address: scp1974@163.com.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20230728
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Humans
MH  - *Deglutition Disorders/epidemiology/etiology/surgery
MH  - Prospective Studies
MH  - Cervical Vertebrae/surgery
MH  - Postoperative Complications/epidemiology/etiology/surgery
MH  - Risk Factors
MH  - *Spinal Fusion/adverse effects
MH  - Diskectomy/adverse effects
OTO - NOTNLM
OT  - Anterior cervical spine surgery
OT  - Dysphagia
OT  - Intraoperative neurophysiological monitoring
OT  - Multicentre study
EDAT- 2023/07/30 01:06
MHDA- 2023/10/09 06:42
CRDT- 2023/07/29 19:12
PHST- 2023/05/01 00:00 [received]
PHST- 2023/07/21 00:00 [revised]
PHST- 2023/07/22 00:00 [accepted]
PHST- 2023/10/09 06:42 [medline]
PHST- 2023/07/30 01:06 [pubmed]
PHST- 2023/07/29 19:12 [entrez]
AID - S1878-8750(23)01063-X [pii]
AID - 10.1016/j.wneu.2023.07.115 [doi]
PST - ppublish
SO  - World Neurosurg. 2023 Oct;178:e533-e539. doi: 10.1016/j.wneu.2023.07.115. Epub 
      2023 Jul 28.