PMID- 37661809
OWN - NLM
STAT- MEDLINE
DCOM- 20231218
LR  - 20231218
IS  - 1528-1159 (Electronic)
IS  - 0362-2436 (Linking)
VI  - 49
IP  - 2
DP  - 2024 Jan 15
TI  - Impact of Frailty and Cervical Radiographic Parameters on Postoperative Dysphagia 
      Following Anterior Cervical Spine Surgery.
PG  - 81-89
LID - 10.1097/BRS.0000000000004815 [doi]
AB  - STUDY DESIGN: Retrospective review of a prospectively collected registry. 
      OBJECTIVE: The purpose of the present study was to investigate the impact of 
      frailty and radiographical parameters on postoperative dysphagia after anterior 
      cervical spine surgery (ACSS). SUMMARY OF BACKGROUND DATA: There is a growing 
      body of literature indicating an association between frailty and increased 
      postoperative complications following various surgeries. However, few studies 
      have investigated the relationship between frailty and postoperative dysphagia 
      after anterior cervical spine surgery. MATERIALS AND METHODS: Patients who 
      underwent anterior cervical spine surgery for the treatment of degenerative 
      cervical pathology were included. Frailty and dysphagia were assessed by the 
      modified Frailty Index-11 (mFI-11) and Eat Assessment Tool 10 (EAT-10), 
      respectively. We also collected clinical demographics and cervical alignment 
      parameters previously reported as risk factors for postoperative dysphagia. 
      Multivariable logistic regression was performed to identify the odds ratio (OR) 
      of postoperative dysphagia at early (2-6 weeks) and late postoperative time 
      points (1-2 years). RESULTS: Ninety-five patients who underwent ACSS were 
      included in the study. Postoperative dysphagia occurred in 31 patients (32.6%) at 
      the early postoperative time point. Multivariable logistic regression identified 
      higher mFI-11 score (OR, 4.03; 95% CI: 1.24-13.16; P =0.021), overcorrection of 
      TS-CL after surgery (TS-CL, T1 slope minus C2-C7 lordosis; OR, 0.86; 95% CI: 
      0.79-0.95; P =0.003), and surgery at C3/C4 (OR, 12.38; 95% CI: 1.41-108.92; P 
      =0.023) as factors associated with postoperative dysphagia. CONCLUSIONS: Frailty, 
      as assessed by the mFI-11, was significantly associated with postoperative 
      dysphagia after ACSS. Additional factors associated with postoperative dysphagia 
      were overcorrection of TS-CL and surgery at C3/C4. These findings emphasize the 
      importance of assessing frailty and cervical alignment in the decision-making 
      process preceding ACSS.
CI  - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Asada, Tomoyuki
AU  - Asada T
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
AD  - Department of Orthopaedic Surgery, Institute of Medicine, University of Tsukuba, 
      Tsukuba, Ibaraki Prefecture, Japan.
FAU - Singh, Sumedha
AU  - Singh S
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Maayan, Omri
AU  - Maayan O
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Shahi, Pratyush
AU  - Shahi P
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Singh, Nishtha
AU  - Singh N
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Subramanian, Tejas
AU  - Subramanian T
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Araghi, Kasra
AU  - Araghi K
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Korsun, Maximilian
AU  - Korsun M
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Tuma, Olivia
AU  - Tuma O
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Pajak, Anthony
AU  - Pajak A
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Lu, Amy
AU  - Lu A
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Mai, Eric
AU  - Mai E
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Kim, Yeo Eun
AU  - Kim YE
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Dowdell, James
AU  - Dowdell J
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Sheha, Evan D
AU  - Sheha ED
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Iyer, Sravisht
AU  - Iyer S
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
FAU - Qureshi, Sheeraz A
AU  - Qureshi SA
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY.
LA  - eng
PT  - Journal Article
DEP - 20230904
PL  - United States
TA  - Spine (Phila Pa 1976)
JT  - Spine
JID - 7610646
SB  - IM
MH  - Humans
MH  - *Deglutition Disorders/diagnostic imaging/epidemiology/etiology
MH  - *Frailty/complications
MH  - Cervical Vertebrae/diagnostic imaging/surgery/pathology
MH  - Radiography
MH  - *Lordosis/surgery
MH  - Retrospective Studies
MH  - Postoperative Complications/diagnostic imaging/epidemiology/etiology
COIS- The authors report no conflicts of interest.
EDAT- 2023/09/04 06:42
MHDA- 2023/12/18 06:41
CRDT- 2023/09/04 03:43
PHST- 2023/04/11 00:00 [received]
PHST- 2023/08/19 00:00 [accepted]
PHST- 2023/12/18 06:41 [medline]
PHST- 2023/09/04 06:42 [pubmed]
PHST- 2023/09/04 03:43 [entrez]
AID - 00007632-990000000-00451 [pii]
AID - 10.1097/BRS.0000000000004815 [doi]
PST - ppublish
SO  - Spine (Phila Pa 1976). 2024 Jan 15;49(2):81-89. doi: 
      10.1097/BRS.0000000000004815. Epub 2023 Sep 4.