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

2009 ◽  
Vol 9 (10) ◽  
pp. 25S-26S
Author(s):  
Peter Siska ◽  
Ravi Ponnappan ◽  
Justin Hohl ◽  
Joon Lee ◽  
James Kang ◽  
...  
2005 ◽  
Vol 2 (2) ◽  
pp. 123-127 ◽  
Author(s):  
Axel Jung ◽  
Johannes Schramm ◽  
Kai Lehnerdt ◽  
Claus Herberhold

Object. Recurrent laryngeal nerve (RLN) palsy is a well-known complication of cervical spine surgery. Nearly all previous studies were performed without laryngoscopy in asymptomatic patients. This prospective study was undertaken to discern the true incidence of RLN palsy. Because not every RLN palsy is associated with hoarseness, the authors conducted a prospective study involving the use of pre- and postoperative laryngoscopy. Methods. Prior to anterior cervical spine surgery preoperative indirect laryngoscopy was performed in 123 patients to evaluate the status of the vocal cords as a sign of function of the RLN. To assess postoperative status in 120 patients laryngoscopy was repeated, and in cases of vocal cord malfunction follow-up examination was conducted 3 months later. In the group of 120 patients who attended follow-up examination, two (1.6%) had experienced a preoperative RLN palsy without hoarseness. Postoperatively the rate of clinically symptomatic RLN palsy was 8.3%, and the incidence of RLN palsy not associated with hoarseness (that is, clinically unapparent without laryngoscopy) was 15.9% (overall incidence 24.2%). At 3-month follow-up evaluation the rate had decreased to 2.5% in cases with hoarseness and 10.8% without hoarseness. Thus, the overall rate of early persisting RLN palsy was 11.3%. Conclusions. Laryngoscopy revealed that the true incidence of initial and persisting RLN palsy after anterior cervical spine surgery was much higher than anticipated. Especially in cases without hoarseness this could be proven, but the initial incidence of hoarseness was higher than expected. Only one third of new RLN palsy cases could be detected without laryngoscopy. Resolution of hoarseness was approximately 70% in those with preoperative hoarseness. The true rate of RLN palsy underscores the necessity to reevaluate the surgery- and intubation-related techniques for anterior cervical spine surgery and to reassess the degree of presurgical patient counseling.


PLoS ONE ◽  
2017 ◽  
Vol 12 (3) ◽  
pp. e0173364 ◽  
Author(s):  
Jia-Ming Liu ◽  
Wei-Lai Tong ◽  
Xuan-Yin Chen ◽  
Yang Zhou ◽  
Wen-Zhao Chen ◽  
...  

2020 ◽  
Vol 66 (5) ◽  
pp. 414-416
Author(s):  
V. Poissonnet ◽  
V. Lubrano ◽  
A. Sadeler ◽  
E. Chabrillac

1991 ◽  
Vol 100 (10) ◽  
pp. 852-855 ◽  
Author(s):  
Yves Goffart ◽  
Jacques Lenelle ◽  
Pierre Moreau ◽  
Jean Boverie

2020 ◽  
Author(s):  
Xiao-feng Zhao ◽  
Xiang-dong Lu ◽  
Yi-bo Zhao ◽  
De-tai Qi ◽  
Wen-xuan Wang ◽  
...  

Abstract BACKGROUND To observed and evaluated the clinical efficacy of a new type cervical anterior screw plate system development for anterior cervical surgery. Methods 27 patients with cervical spine disease treated with new PRUNUS nail plate internal fixation were selected as observation group, and 29 patients treated with conventional cervical anterior screw fixation were selected as the control group. Cervical stability, internal fixation position and bone graft fusion were evaluated according to imaging data. The operative time, intraoperative blood loss, cervical Cobb angle, VAS scores, and JOA scores were compared between the two groups. Spinal function scores and neurological improvement rates were used to evaluate the clinical efficacy of the new PRUNUS spine plate. Results There were statistical differences in operation time and blood loss between the two groups (P<0.05). The difference in Cobb angle, JOA score and improvement rate, VAS score before and after surgery in two groups were statistically significant (P<0.05), but no significant differences between two groups (P>0.05). Conclusion The new PRUNUS spine plate system can be applied to the anterior cervical spine surgery, and its clinical efficacy was similar to the traditional cervical anterior plate. But PRUNUS simplified the operation process, especially for the osteoporosis patients.


2017 ◽  
Vol 3 (3) ◽  
pp. 444-459 ◽  
Author(s):  
Anastasia Tasiou ◽  
Theofanis Giannis ◽  
Alexandros G. Brotis ◽  
Ioannis Siasios ◽  
Iordanis Georgiadis ◽  
...  

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