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Anterior spine surgery dysphagia

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https://www.readbyqxmd.com/read/27879511/c2-c3-anterior-cervical-fusion-technical-report
#1
Michael A Finn, Joel D MacDonald
STUDY DESIGN: Retrospective review of patients at a university hospital. OBJECTIVE: To describe the anterior approach for cervical discectomy and fusion (ACDF) at C2-C3 level and evaluate its suitability for treatment of instability and degenerative disease in this region. SUMMARY OF BACKGROUND DATA: The anterior approach is commonly used for ACDF in the lower cervical spine but is used less often in the high cervical spine. METHODS: We retrospectively reviewed a database of consecutive cervical spine surgeries performed at our institution to identify patients who underwent ACDF at the C2-C3 level during a 10-year period...
December 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27787486/minimally-invasive-cervical-spine-surgery
#2
Branko Skovrlj, Sheeraz A Qureshi
AIM: Degenerative disorders of the cervical spine requiring surgical intervention have become increasingly more common over the past decade. Traditionally, open surgical approaches have been the mainstay of surgical treatment. More commonly, minimally invasive techniques are being developed with the intent to decrease surgical morbidity and iatrogenic spinal instability. This study will review four minimally invasive cervical techniques that have been increasingly utilized in the treatment of degenerative cervical spine disease...
October 27, 2016: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/27781183/perioperative-complications-of-cervical-spine-surgery-analysis-of-a-prospectively-gathered-database-through-the-association-for-collaborative-spinal-research
#3
Steven Leckie, S Tim Yoon, Robert Isaacs, Kris Radcliff, Richard Fessler, Regis Haid, Vincent Traynelis
Study Design Retrospective review of prospectively gathered data. Objective To report the rate and impact of perioperative complications in cervical spine surgery. To our knowledge, no prior study of the cervical spine has analyzed a large prospectively gathered data set for adverse events, based on surgical subgroup. Methods The ProSTOS database features prospectively documented perioperative adverse events for 1,269 patients who had cervical spine surgery at multiple centers in North America between 2008 and 2011...
November 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27755491/clinical-outcomes-of-outpatient-cervical-total-disc-replacement-compared-to-outpatient-anterior-cervical-discectomy-and-fusion
#4
Kingsley R Chin, Fabio J R Pencle, Jason A Seale, Franz K Pencle
STUDY DESIGN: A single-center, retrospective study. OBJECTIVE: To determine the safety and outcomes of total disc replacement (TDR) as an outpatient procedure in the ambulatory surgery center (ASC). SUMMARY OF BACKGROUND DATA: Anterior cervical discectomy and fusion (ACDF) has been demonstrated to be safe in the outpatient setting. As the awareness of same day surgery procedures is on the rise due to better outcome and shorter recovery time...
October 17, 2016: Spine
https://www.readbyqxmd.com/read/27738574/outcomes-evaluation-of-zero-profile-devices-compared-to-stand-alone-peek-cages-for-the-treatment-of-three-and-four-level-cervical-disc-disease
#5
Peter C Gerszten, Erin Paschel, Hazem Mashaly, Hatem Sabry, Hasan Jalalod'din, Khaled Saoud
BACKGROUND: Anterior cervical discectomy and fusion (ACDF) is a well-accepted treatment option for patients with cervical spine disease. Three- and four-level discectomies are known to be associated with a higher complication rate and lower fusion rate than single-level surgery. This study was performed to evaluate and compare zero-profile fixation and stand-alone PEEK cages for three- and four-level ACDF. METHODS: Two cohorts of patients who underwent ACDF for the treatment of three- and four-level disease were compared...
September 10, 2016: Curēus
https://www.readbyqxmd.com/read/27642818/comparison-of-curvature-between-the-zero-p-spacer-and-traditional-cage-and-plate-after-3-level-anterior-cervical-discectomy-and-fusion-mid-term-results
#6
Yuanyuan Chen, Yang Liu, Huajiang Chen, Peng Cao, Wen Yuan
STUDY DESIGN: A retrospective study. OBJECTIVE: To compare clinical and radiologic outcomes of 3-level anterior cervical discectomy and fusion between a zero-profile (Zero-P) spacer and a traditional plate in cases of symptomatic cervical spine spondylosis. SUMMARY OF BACKGROUND DATA: Anterior cervical decompression and fusion is indicated for patients with anterior compression or stenosis of the spinal cord. The Zero-P spacers have been used for anterior cervical interbody fusion of 1 or 2 segments...
September 16, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27636981/a-review-of-postsurgical-dysphagia-in-nonmalignant-disease
#7
Mathew B Vansant, Melda Kunduk, Andrew J McWhorter
PURPOSE OF REVIEW: This article reviews current literature regarding postsurgical dysphagia in nonmalignant disease examining the current recommendations, risk factors, and potential implications. RECENT FINDINGS: Surgical interventions including anterior cervical spine surgery, thyroidectomy, laryngeal and pulmonary, cardiac, esophageal and fundoplication, gastric and bariatric, and posterior fossa surgeries are known to result in swallowing dysfunction. Postsurgical dysphagia may increase the length of hospitalization, overall cost, risk of pneumonia, and time to oral intake...
December 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/27615268/pharyngo-oesophageal-perforation-following-anterior-cervical-discectomy-and-fusion-management-and-results%C3%A2
#8
Ottorino Perrone, Valentina Tassi, Benedetta Mattioli, Niccolò Daddi, Mariella Uneddu, Ignazio Borghesi, Sandro Mattioli
OBJECTIVES: Pharyngo-oesophageal perforation is a rare, life-threatening complication of anterior cervical discectomy and fusion surgery; its management remains poorly defined. We reviewed our experience to understand the treatment of this dreadful complication. METHODS: Data regarding the demographics, clinical course, diagnosis, management and outcomes of 15 cases of pharyngo-oesophageal perforations in 14 patients were collected during the period from 2003 to 2016...
September 11, 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27582129/safety-of-outpatient-anterior-cervical-discectomy-and-fusion-a-systematic-review-and-meta-analysis
#9
Dexiang Ban, Yang Liu, Taiwei Cao, Shiqing Feng
BACKGROUND: Anterior cervical discectomy and fusion (ACDF) is one of the most prevalent spine surgeries and neurosurgical procedures performed to treat a variety of disorders in the cervical spine. Over the last several years, ACDF has been done in the outpatient setting for less invasive approaches and exposures, as well as modified anesthetic and pain management techniques. Despite the fact that it may be innocuous in other parts of the body, complications in the spine can literally be fatal...
2016: European Journal of Medical Research
https://www.readbyqxmd.com/read/27512221/anterior-cervical-discectomy-and-fusion-for-noncontiguous-cervical-spondylotic-myelopathy
#10
Sun Qizhi, Li Peijia, Sun Lei, Chen Junsheng, Li Jianmin
BACKGROUND: Noncontiguous cervical spondylotic myelopathy (CSM) is a special degenerative disease because of the intermediate normal level or levels between supra and infraabnormal levels. Some controversy exists over the optimal procedure for two noncontiguous levels of CSM. The study was to evaluate the outcomes of the anterior cervical discectomy and fusion (ACDF) with zero-profile devices for two noncontiguous levels of CSM. MATERIALS AND METHODS: 17 consecutive patients with two noncontiguous levels of CSM operated between December 2009 and August 2012 were included in the study...
July 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27448197/complications-in-adult-patients-with-down-syndrome-undergoing-cervical-spine-surgery-using-current-instrumentation-techniques-and-rhbmp-2-a-long-term-follow-up
#11
Kris Siemionow, Mark Hansdorfer, Piotr Janusz, Steven Mardjetko
Introduction Cervical spine pathologies are common in Down syndrome (DS) patients. Cervical pathologies may cause cord compression and neurologic deterioration if left untreated. Complication rates of 73-100% have been reported in DS patients after cervical spine surgery in historical studies. This study reports updated perioperative complications rates and long-term outcome in patients with DS undergoing cervical spine surgery. Methods Retrospective review of patients with DS who have undergone cervical spine surgery from 1998 to 2011 (≥ 24 months of follow-up) was undertaken...
July 22, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/27398892/most-30-day-readmissions-after-anterior-cervical-discectomy-and-fusion-are-not-due-to-surgical-site-related-issues-an-analysis-of-17-088-patients
#12
Andre M Samuel, Michael C Fu, Jason O Toy, Adam M Lukasiewicz, Matthew L Webb, Daniel D Bohl, Bryce A Basques, Todd J Albert, Jonathan N Grauer
STUDY DESIGN: A retrospective study of patients undergoing anterior cervical discectomy and fusion (ACDF) in the prospective National Surgical Quality Improvement Program (NSQIP) database. OBJECTIVE: To determine the most common reasons for readmission within 30 days after elective ACDF. SUMMARY OF BACKGROUND DATA: ACDF is a commonly performed surgery that is safe and effective for treating a variety of cervical spine pathologies. With new quality-based reimbursements tied to readmissions within 30 days of discharge, better understanding of the causes of readmissions is, however, needed...
December 1, 2016: Spine
https://www.readbyqxmd.com/read/27352370/clinical-and-radiographic-outcomes-in-patients-undergoing-single-level-anterior-cervical-arthrodesis-a-prospective-trial-comparing-allograft-to-a-reduced-dose-of-rhbmp-2
#13
John K Burkus, Randall F Dryer, Paul M Arnold, Kevin T Foley
STUDY DESIGN: A prospective study with historical controls. OBJECTIVES: To evaluate and compare the safety and effectiveness of recombinant human bone morphogenetic protein-2 (rhBMP-2) with allograft for anterior cervical discectomy and fusion (ACDF) in patients with symptomatic single-level cervical degenerative disk disease. SUMMARY OF BACKGROUND DATA: rhBMP-2 is an osteoinductive protein that has been shown to induce fusion when used as an implant with a suitable carrier in spine surgery...
June 27, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27326961/reasons-of-dysphagia-after-operation-of-anterior-cervical-decompression-and-fusion
#14
Bing Wu, Fei Song, Shourong Zhu
STUDY DESIGN: Retrospective study. OBJECTIVE: To analyze the reasons, clinical manifestation, risk factors, prevention and treatment of dysphagia after operation of anterior cervical decompression and fusion. SUMMARYOF BACKGROUND DATA: Dysphagia is one of severe complications after anterior cervical decompression and fusion. There were a few studies about reasons and prevention of dysphagia. METHODS: We retrospectively reviewed medical charts of patients underwent anterior cervical decompression and fusion in our hospital from January 2012 to December 2012...
June 20, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27235127/the-role-of-steroid-administration-in-the-management-of-dysphagia-in-anterior-cervical-procedures
#15
Ioannis Siasios, Konstantinos Fountas, Vassilios Dimopoulos, John Pollina
Dysphagia is a common postoperative symptom for patients undergoing anterior cervical spine procedures. The purpose of this study is to present the current literature regarding the effect of steroid administration in dysphagia after anterior cervical spine procedures. We performed a literature search in the PubMed database, using the following terms: "dysphagia," "ACDF," "cervical," "surgery," "anterior," "spine," "steroids," "treatment," and "complications." We included in our review any study correlating postoperative dysphagia and steroid administration in anterior cervical spine surgery...
May 27, 2016: Neurosurgical Review
https://www.readbyqxmd.com/read/27171665/c2-3-anterior-cervical-fusion-technical-report
#16
Michael A Finn, Joel D MacDonald
STUDY DESIGN: Retrospective review of patients at a university hospital OBJECTIVE:: To describe the anterior approach for cervical discectomy and fusion (ACDF) at C2-3 level and evaluate its suitability for treatment of instability and degenerative disease in this region. SUMMARY OF BACKGROUND DATA: The anterior approach is commonly used for ACDF in the lower cervical spine but is used less often in the high cervical spine. METHODS: We retrospectively reviewed a database of consecutive cervical spine surgeries performed at our institution to identify patients who underwent ACDF at the C2-3 level during a 10-year period...
May 11, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27169093/delayed-esophagus-perforation-after-anterior-cervical-spine-surgery
#17
Sei-Youn Yang, Sang-Bok Lee, Kyoung-Suok Cho
Esophageal perforation is a serious possible complication after anterior cervical discectomy and fusion (ACDF). It usually occurs during the first postoperative day. Esophageal perforation is a potentially life-threatening complication. A 63-year-old man who underwent ACDF 8 years prior visited our emergency room with recurrent aspiration pneumonia, fever, dysphagia and neck pain. Endoscopic study showed esophageal perforation by cervical plate. Successful treatment of the perforation resulted after surgical repair using a sternocleidomastoid muscle flap...
October 2015: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27138304/does-cervical-disc-arthroplasty-have-lower-incidence-of-dysphagia-than-anterior-cervical-discectomy-and-fusion-a-meta-analysis
#18
Zhao-Ming Zhong, Mo Li, Zhi-Min Han, Ji-Huan Zeng, Shi-Yuan Zhu, Qian Wu, Jian-Ting Chen
OBJECTIVE: Dysphagia is a common occurrence after anterior cervical spine surgery. The aim of this meta-analysis was to evaluate the incidence of dysphagia after ervical disc arthroplasty (CDA) compared with anterior cervical discectomy and fusion (ACDF). MATERIAL AND METHODS: The electronic databases, including PubMed, EMBASE and Cochrane Central Register of Controlled Trials, were searched to identify the randomized controlled trials comparing CDA with ACDF. Studies were included only if the incidence of postoperative dysphagia was investigated...
July 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27108258/early-reintervention-after-anterior-cervical-spine-surgery-epidemiology-and-risk-factors-a-case-control-study
#19
M Boudissa, J Lebecque, L Boissière, O Gille, V Pointillart, I Obeid, J-M Vital
INTRODUCTION: Anterior cervical spine surgery is a frequent and effective procedure; complications are rare, but potentially fatal. The objective of the present study was to assess epidemiology and risk factors for early reintervention in anterior cervical spine surgery. METHODS: A retrospective case-control study recruited 2319 patients operated on in our department, with 7 years' follow-up. Incidence and prevalence of causes of early reintervention were analyzed...
June 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27081708/esophageal-perforation-after-anterior-cervical-spine-surgery-a-systematic-review-of-the-literature
#20
Sameer H Halani, Griffin R Baum, Jonathan P Riley, Gustavo Pradilla, Daniel Refai, Gerald E Rodts, Faiz U Ahmad
OBJECTIVE Esophageal perforation is a rare but well-known complication of anterior cervical spine surgery. The authors performed a systematic review of the literature to evaluate symptomatology, direct causes, repair methods, and associated complications of esophageal injury. METHODS A PubMed search that adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines included relevant clinical studies and case reports (articles written in the English language that included humans as subjects) that reported patients who underwent anterior spinal surgery and sustained some form of esophageal perforation...
September 2016: Journal of Neurosurgery. Spine
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