Outcomes and complications of surgical treatment of anterior osteophytes causing dysphagia: Single center experience

Park, Brian; Gold, Colin; Piscopo, Anthony; Schwickerath, Laura; Bathla, Girish; Chieng, Lee-Onn; Yamaguchi, Satoshi; Hitchon, Patrick W.

doi:10.1016/j.clineuro.2021.106814

Cited by 4 publications

(8 citation statements)

References 33 publications

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“…Vaishnav [15] rstly evaluated relation between SWAL-QOL score and dysphagia and suggested that preoperative SWAL-QOL score was a predictive factor of dysphagia in single level ACDF. Park [11] also found preoperative dysphagia associated with poor postoperative functional swallow outcome by FOSS score. We obtained similar results with previous study [11,15].…”

Section: Discussionmentioning

confidence: 90%

“…Park [11] also found preoperative dysphagia associated with poor postoperative functional swallow outcome by FOSS score. We obtained similar results with previous study [11,15]. Our ndings demonstrated that lower preoperative SWAL-QOL score implying was an independent risk of postoperative dysphagia at any follow-up in univariate and multivariate analysis, which was particularly relevant clinically because it was bene cial for spine surgeon to preoperatively distinguish those who were susceptible to postoperative dysphagia.…”

Section: Discussionmentioning

confidence: 90%

“…Mention above may perfectly account for our results. Park [11] believed that most patients were able to tolerate this increase in C2-7 SVA. While we also partial agree with Park' consequence.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors Associated with Dysphagia after Anterior Surgery in Treatment for Multilevel Cervical Disorder with Kyphosis

Wei

Chen

et al. 2021

Preprint

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Study Design: A retrospective study.Objective: The purpose of this study was to clarify the risk factors associated with dysphagia following anterior surgery treating multilevel cervical disorder with kyphosis based on subgroup of follow-up time.Methods: Totally, 81 patients who suffered from multilevel cervical disorder with kyphosis receiving anterior surgery from July 2018 to June 2020 were reviewed for clinical and radiological outcomes. Patients with dysphagia was defined as dysphagia group and without dysphagia as no-dysphagia group according to follow-up time (1 week, 1-month, 3-month, 6-month and 1-year after surgery). Data was performed to compare between the patients with and without dysphagia.Results: In our study, the occurrence of dysphagia was 67.9%, 44.4%, 34.6%，25.9% and 14.8% at the time of 1 week, 1-month, 3-month, 6-month, and 1 -year after surgery, respectively. Our findings showed that a history of smoking, lower preoperative Swallowing Quality of Life (SWAL-QOL) score, post-operative Cobb angle of C2-7 and change of Cobb angle of C2-7 were associated with dysphagia within 3-month after surgery. Furthermore, a history of smoking, lower preoperative SWAL-QOL score, and post-operative Cobb angle of C2-7 were linked with dysphagia within 6-month after surgery. However, a history of smoking and lower preoperative SWAL-QOL score were found to be risk factors related with dysphagia at at any follow-up.Conclusions: In the present study, many factors were related with dysphagia during 3-month after surgery. What’s more, a history of smoking and lower preoperative SWAL-QOL score were associated with dysphagia at any follow-up. We hope this article can provide a reference for spinal surgeons to predict which patients were susceptible to suffer from dysphagia after anterior surgery in treatment of multilevel cervical disorder with kyphosis.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 90%

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Risk Factors Associated with Dysphagia after Anterior Surgery in Treatment for Multilevel Cervical Disorder with Kyphosis

Wei

Chen

et al. 2021

Preprint

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“…[14] Vaishnav [15] first evaluated the relationship between SWAL-QOL score and dysphagia and suggested that preoperative SWAL-QOL score was a predictive factor of dysphagia in single-level ACDF. Park [11] also found that preoperative dysphagia was associated with poor postoperative functional swallow outcome by FOSS score. We obtained similar results with previous study.…”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with dysphagia after anterior surgery in treatment for multilevel cervical disorder with kyphosis

Wang

Shen

2022

Medicine

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This is a retrospective study. Our aim was to investigate the risk factors related to dysphagia following anterior surgery treating the multilevel cervical disorder with kyphosis based on a subgroup of follow-up time. Finally, a total of 81 patients suffering from the multilevel cervical disorder with kyphosis following anterior surgery from July 2018 to June 2020 were included in our study. Patients with dysphagia were defined as the dysphagia group and without dysphagia as the no-dysphagia (NG) group based on a subgroup of follow-up time (1-week, 1-month, 3-month, 6-month, and 1-year after surgery). Clinical outcomes and radiological data were performed to compare between dysphagia group and NG. In our study, the rate of dysphagia was 67.9%, 44.4%, 34.6%, 25.9%, and 14.8% at 1-week, 1-month, 3-month, 6-month, and 1-year after surgery, respectively. Our findings showed that change of Cobb angle of C2-7 was associated with dysphagia within 3-month after surgery. Furthermore, postoperative Cobb angle of C2-7 was linked to dysphagia within 6-month after surgery. Interestingly, a history of smoking and lower preoperative SWAL-QOL score were found to be risk factors related with dysphagia at any follow-up. In the present study, many factors were found to be related to dysphagia within 3-month after surgery. Notably, a history of smoking and lower preoperative SWAL-QOL score were associated with dysphagia at any follow-up. We hope this article can provide a reference for spinal surgeons to predict which patients were susceptible to suffering from dysphagia after anterior surgery in the treatment of multilevel cervical disorder with kyphosis.Abbreviations: ACCF = anterior cervical corpectomy and fusion, ACDF = anterior cervical discectomy and fusion, BMI = body mass index, JOA = Japanese Orthopedic Association, SWAL-QOL = swallowing quality of life.

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“…Conservative treatment is usually selected [8,9], but surgery may be performed if there is no improvement. Usually, resection of C-OALL is selected [10][11][12], but it is not clear whether resection of the ossification foci alone can improve swallowing, as the thickness of the ossification or timing of surgery does not necessarily correlate with dysphagia [13]. In this study, we experienced two cases in which the dysphagia improved with a different technique despite similar swallowing evaluations, including X-rays.…”

Section: Introductionmentioning

confidence: 91%

Ossification of the Anterior Longitudinal Ligament with Dysphagia as the First Symptom: Rehabilitation of Two Cases

Nishida¹,

Ogasa²,

Seki³

et al. 2021

Applied Sciences

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Dysphagia is associated with poor quality of life, and pneumonia due to aspiration is life-threatening. Cervical ossification of the anterior longitudinal ligament (C-OALL) is one of the causes of dysphagia, and we report two cases in which dysphagia improved after surgery. Case 1: A 76-year-old man had C-OALL of greater than 16 mm and dysphagia and developed myelopathy. A fall resulted in upper and lower limb insufficiency paralysis, and posterior decompression fixation was performed. Pressure on the pharynx by C-OALL remained, but dysphagia improved. Improvement in this case was considered to be due to the loss of intervertebral mobility. Case 2: A 62-year-old man developed dysphagia 6 years ago. It gradually exacerbated, and the C-OALL increased. Laryngeal fiberscope and swallowing angiography revealed that the pharyngeal cavity was compressed and narrowed anteriorly due to ossification. Resection of the ossification was performed, and the patient’s symptoms improved. Direct decompression was successful in this case. Several evaluation methods for dysphagia have been reported, including screening tests, endoscopy, contrast studies, and radiological evaluation. In case 1, extensive ossification was improved by posterior fixation, albeit incidentally, whereas in case 2, a patient with extensive ossification exhibited symptoms. It is necessary to examine the cervical mobility, extent and morphology of ossification, and timing of surgery stenosis to determine the risk factors and treatment options, including rehabilitation.

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Outcomes and complications of surgical treatment of anterior osteophytes causing dysphagia: Single center experience

Cited by 4 publications

References 33 publications

Risk Factors Associated with Dysphagia after Anterior Surgery in Treatment for Multilevel Cervical Disorder with Kyphosis

Risk Factors Associated with Dysphagia after Anterior Surgery in Treatment for Multilevel Cervical Disorder with Kyphosis

Risk factors associated with dysphagia after anterior surgery in treatment for multilevel cervical disorder with kyphosis

Ossification of the Anterior Longitudinal Ligament with Dysphagia as the First Symptom: Rehabilitation of Two Cases

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