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International and Multicenter Prospective Controlled Study of Dysphagia After Anterior Cervical Spine Surgery.
Falavigna, Asdrubal; Arruda, André de Oliveira; Righesso Neto, Orlando; Dozza, Diego; Guyot, Juan Pablo; Yurac, Ratko; Jalón, Pablo Gustavo; Avila, José Maria Jiménez; Zárate, Barón; Scheverin, Nicolas; Ghogawala, Zoher.
Afiliação
  • Falavigna A; Postgraduation Program in Health Sciences, University of Caxias do Sul, Caxias do Sul, Brazil.
  • Arruda AO; Department of Neurosurgery, University of Caxias do Sul, Caxias do Sul, Brazil.
  • Righesso Neto O; Postgraduation Program in Health Sciences, University of Caxias do Sul, Caxias do Sul, Brazil.
  • Dozza D; Cajuru University Hospital, Spine Surgery Unit, Curitiba, Brazil.
  • Guyot JP; Postgraduation Program in Health Sciences, University of Caxias do Sul, Caxias do Sul, Brazil.
  • Yurac R; São Vicente de Paulo Hospital, Neurosurgery Unit, Passo Fundo, Brazil.
  • Jalón PG; Hospital Universitario Fundación Favaloro, Spine Surgery, Buenos Aires, Argentina.
  • Avila JMJ; Department of Traumatology-Spine Unit, Clínica Alemana, Santiago, Chile.
  • Zárate B; Department of Neurosurgery-Spine Surgery, Hospital de Clínicas José de San Martin-University of Buenos Aires, Buenos Aires, Argentina.
  • Scheverin N; Department of Orthopedics and Traumatology, Hospital de Especialidades, Guadalajara, Mexico.
  • Ghogawala Z; Instituto Tecnológico y de Estudios Superiores de Monterrey, Campus Guadalajara, Guadalajara, Jalisco, México.
Neurosurgery ; 92(6): 1287-1296, 2023 06 01.
Article em En | MEDLINE | ID: mdl-36762900
BACKGROUND: In the context of anterior approach to the cervical spine, dysphagia is a common complication and still without a clear distinction of risk factors. OBJECTIVE: To analyze the risk factors of dysphagia after cervical spine surgery. METHODS: Multicenter prospective study evaluated patients who underwent anterior cervical spine surgery for degenerative pathologies, studying surgical, anesthesia, base disease, and radiological variables (preoperatively, 24 hours, 1 and 3 weeks, and 6 months after surgery), with control group matched. Postoperative dysphagia was assessed by Swallowing Satisfaction Index and Swallowing Questionnaire; besides, based on multiple logistic regression model, a risk factor analysis correlation was applied. RESULTS: In total, 233 cervical patients were evaluated; most common level approached was C5-C6 (71.8%). All showed same decreasing trade for dysphagia incidence-with more cases on cervical group ( P < .05); severe cases were rare. At postoperative day 1, identified risk factors were approach to C3-C4 (4.11, P < .01), loss of preoperative cervical lordosis (2.26, P < .01), intubation attempts ≥2 (3.10, P < .01), and left side approach (1.85, P = .02); at day 7, body mass index ≥30 (2.29, P = .02), C3-C4 (3.42, P < .01), and length of surgery ≥90 minutes (2.97, P = .005); and at day 21, C3-C4 were kept as a risk factor (3.62, P < .01). CONCLUSION: A high incidence level of dysphagia was identified, having a clear decreasing trending (number of cases and severity) through postoperative time points; considering possible risk factors, strongest correlation was the approach at the C3-C4 level-statistically significant at the 24 hours, 7 days, and 21 days assessment.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fusão Vertebral / Transtornos de Deglutição Tipo de estudo: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Neurosurgery Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fusão Vertebral / Transtornos de Deglutição Tipo de estudo: Clinical_trials / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Neurosurgery Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos