PMID- 38457793
OWN - NLM
STAT- Publisher
LR  - 20240308
IS  - 1547-5646 (Electronic)
IS  - 1547-5646 (Linking)
DP  - 2024 Mar 8
TI  - Preoperative diagnosis of mental health disorder and dysphagia following anterior 
      cervical spine surgery.
PG  - 1-6
LID - 10.3171/2024.1.SPINE23774 [doi]
AB  - OBJECTIVE: Mental health disorders (MHDs) have been linked to worse postoperative 
      outcomes after various surgical procedures. Past studies have also demonstrated a 
      higher prevalence of dysphagia in both acute and community mental health 
      settings. Dysphagia is among the most common complications following anterior 
      cervical spine surgery (ACSS); however, current literature describing the 
      association between an established diagnosis of an MHD and the rate of dysphagia 
      after ACSS is sparse. METHODS: All patients who underwent ACSS between 2014 and 
      2020 with a minimum of 6 months of follow-up were retrospectively evaluated at a 
      single institution. Patients were divided into cohorts depending on an 
      established diagnosis of an MHD: the first had no established MHD (non-MHD); the 
      second included patients with a diagnosed MHD. Outcomes were measured using pre- 
      and postoperative patient-reported outcome scores, which included the Swallowing 
      Quality of Life survey for dysphagia, as well as physical and mental health 
      questionnaires. Postoperative dysphagia surveys were obtained at final follow-up 
      for both patient cohorts. RESULTS: A total of 68 and 124 patients with and 
      without a diagnosis of a MHD were assessed. The MHD group reported significantly 
      worse baseline Patient-Reported Outcomes Measurement Information System 
      depression scale scores (p < 0.001), 12-Item Short-Form Health Survey (p < 
      0.001), and Veterans RAND 12-Item Health Survey (p = 0.001) mental health 
      components compared to non-MHD group. This group continued to have worse mental 
      health status in the postoperative period, as reported by Patient-Reported 
      Outcomes Measurement Information System depression scale scores (p = 0.024), 
      12-Item Short-Form Health Survey (p = 0.019), and Veterans RAND 12-Item Health 
      Survey (p = 0.027). Postoperative assessment of Swallowing Quality of Life scores 
      (expressed as the mean +/- SD) also showed worse dysphagia outcomes in the MHD 
      cohort (80.1 +/- 12.2) than in the non-MHD cohort (86.0 +/- 12.1, p = 0.001). 
      CONCLUSIONS: ACSS is associated with significantly higher postoperative dysphagia 
      in patients diagnosed with an MHD when compared to patients without an 
      established mental health diagnosis. Given the high prevalence of MHDs in 
      patients with spinal pathology, it is important for spine surgeons to take note 
      of the increased incidence of dysphagia faced by this patient population.
FAU - Zavras, Athan G
AU  - Zavras AG
AD  - 1Department of Orthopaedic Surgery, Allegheny General Hospital, Pittsburgh, 
      Pennsylvania; and.
FAU - Vucicevic, Rajko S
AU  - Vucicevic RS
AD  - 2Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Federico, Vincent P
AU  - Federico VP
AD  - 2Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Nolte, Michael T
AU  - Nolte MT
AD  - 2Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Shepard, Nicholas A
AU  - Shepard NA
AD  - 2Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Sayari, Arash J
AU  - Sayari AJ
AD  - 2Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
FAU - Colman, Matthew W
AU  - Colman MW
AD  - 2Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois.
LA  - eng
PT  - Journal Article
DEP - 20240308
PL  - United States
TA  - J Neurosurg Spine
JT  - Journal of neurosurgery. Spine
JID - 101223545
SB  - IM
OTO - NOTNLM
OT  - anterior cervical discectomy and fusion
OT  - anterior cervical spine surgery
OT  - dysphagia
OT  - mental health disorders
OT  - total disc replacement
EDAT- 2024/03/08 18:42
MHDA- 2024/03/08 18:42
CRDT- 2024/03/08 16:53
PHST- 2023/07/14 00:00 [received]
PHST- 2024/01/04 00:00 [accepted]
PHST- 2024/03/08 18:42 [medline]
PHST- 2024/03/08 18:42 [pubmed]
PHST- 2024/03/08 16:53 [entrez]
AID - 10.3171/2024.1.SPINE23774 [doi]
PST - aheadofprint
SO  - J Neurosurg Spine. 2024 Mar 8:1-6. doi: 10.3171/2024.1.SPINE23774.