49. Dysphagia Following Anterior Cervical Spine Surgery: A Prospective Study Using the SWAL-QOL Questionnaire and Analysis of Patient Co-Morbidities

Siska, Peter A.; Ponnappan, Ravi K.; Hohl, Justin B.; Lee, Joon; Kang, James D.; Donaldson, William F.

doi:10.1016/j.spinee.2009.08.060

Cited by 34 publications

(55 citation statements)

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“…The SF-36 has been widely used in many ACDF and cervical disc prosthesis procedures as an important integral part in evaluating the success of a specific medical treatment (1, 3 The incidence, severity and duration of dysphagia in our Zero-P group was similar to that of Scholz and Hofstetter (6,19) who used Zero-P implants with lower incidence of transient and chronic dysphagia postoperatively and was much less than that in our cage with plate group and other investigators (8,20,32). A relationship between postoperative swelling of the prevertebral soft tissue and postoperative dysphagia has been reported (22,26).…”

Section: A B C D a B C Dsupporting

confidence: 68%

Outcome evaluation of zero-profile implant compared with an anterior plate and cage used in anterior cervical discectomy and fusion: a two-year follow-up study

Zhang

Wang²,

Tao³

et al. 2014

Turkish Neurosurgery

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Section: A B C D a B C Dsupporting

confidence: 68%

Outcome evaluation of zero-profile implant compared with an anterior plate and cage used in anterior cervical discectomy and fusion: a two-year follow-up study

Zhang

Wang²,

Tao³

et al. 2014

Turkish Neurosurgery

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“…The modified Swallowing Quality of Life (SWAL-QOL) questionnaire was used to assess dysphagia. [21][22][23][24] This modified questionnaire comprises 14 symptoms of dysphagia, each scored from 1 to 5 as follows: 1, almost always; 2, often; 3, sometimes; 4, hardly ever; and 5, never. The score therefore ranges from 14 (most severe dysphagia) to 70 (no dysphagia).…”

Section: Methodsmentioning

confidence: 99%

The use of a zero-profile device compared with an anterior plate and cage in the treatment of patients with symptomatic cervical spondylosis

Chen

Liu

et al. 2013

The Bone & Joint Journal

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In a retrospective cohort study we compared the clinical outcome and complications, including dysphagia, following anterior cervical fusion for the treatment of cervical spondylosis using either a zero-profile (Zero-P; Synthes) implant or an anterior cervical plate and cage. A total of 83 patients underwent fusion using a Zero-P and 107 patients underwent fusion using a plate and cage. The mean follow-up was 18.6 months (SD 4.2) in the Zero-P group and 19.3 months (SD 4.1) in the plate and cage group. All patients in both groups had significant symptomatic and neurological improvement. There were no significant differences between the groups in the Neck Disability Index (NDI) and visual analogue scores at final follow-up. The cervical alignment improved in both groups. There was a higher incidence of dysphagia in the plate and cage group on the day after surgery and at two months post-operatively. All patients achieved fusion and no graft migration or nonunion was observed. When compared with the traditional anterior cervical plate and cage, the Zero-P implant is a safe and convenient procedure giving good results in patients with symptomatic cervical spondylosis with a reduced incidence of dysphagia post-operatively.

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“…13 The frequency of RLN injury after ACDF surgery has been reported to be between 1% and 11% 4,6,15,16 and is usually temporary. Permanent injury has been reported to occur 1%-5% of the time.…”

mentioning

confidence: 99%

Recurrent laryngeal nerve injury following reoperative anterior cervical discectomy and fusion: a meta-analysis

Erwood¹,

Hadley²,

Gordon³

et al. 2016

SPI

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OBJECTIVE Recurrent laryngeal nerve (RLN) injury is one of the most frequent complications of anterior cervical discectomy and fusion (ACDF) procedures. The frequency of RLN is reported as 1%–11% in the literature.4,15 The rate of palsy after reoperative ACDF surgery is not well defined. This meta-analysis was performed to review the current medical evidence on RLN injury after ACDF surgery and to determine a relative rate of RLN injury after reoperative ACDF. METHODS MEDLINE, PubMed, and Google Scholar searches were performed using several key words and phrases related to ACDF surgery. Included studies were written in English, addressed revisionary ACDF surgery, and studied outcomes of RLN injury. Statistical analysis was then performed using a random-effects model to calculate a pooled rate of RLN injury. The heterogeneity of the studies was assessed using Cochran's Q statistic and I2 statistic, and a funnel plot was constructed to evaluate publication bias. RESULTS The search initially identified 345 articles on this topic. Eight clinical articles that met all inclusion criteria were included in the meta-analysis. A total of 238 patients were found to have undergone reoperative ACDF. Thirty-three of those patients experienced an RLN injury. This analysis identified a rate of RLN injury in the literature after reoperative ACDF of 14.1% (95% confidence interval [CI] 9.8%–19.1%). CONCLUSIONS The rate of RLN palsy of 14.1% was greater than any published rate of RLN injury after primary ACDF operations, suggesting that there is a greater risk of hoarseness and dysphagia with reoperative ACDF surgeries than with primary procedures as reported in these studies.

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49. Dysphagia Following Anterior Cervical Spine Surgery: A Prospective Study Using the SWAL-QOL Questionnaire and Analysis of Patient Co-Morbidities

Cited by 34 publications

References 0 publications

Outcome evaluation of zero-profile implant compared with an anterior plate and cage used in anterior cervical discectomy and fusion: a two-year follow-up study

Outcome evaluation of zero-profile implant compared with an anterior plate and cage used in anterior cervical discectomy and fusion: a two-year follow-up study

The use of a zero-profile device compared with an anterior plate and cage in the treatment of patients with symptomatic cervical spondylosis

Recurrent laryngeal nerve injury following reoperative anterior cervical discectomy and fusion: a meta-analysis

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