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ACDF spine dysphagia

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
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
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
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
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. However, with new quality-based reimbursements tied to readmissions within 30 days of discharge, better understanding of the causes of readmissions is needed...
July 7, 2016: Spine
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
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
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
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
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
Charles C Edwards, Clayton Dean, Charles C Edwards, David Phillips, Alexis Blight
STUDY DESIGN: A prospective, randomized, placebo-controlled, double-blind trial. OBJECTIVE: The aim of this study was to investigate whether the local administration of depomedrol decreases the severity of dysphagia after anterior cervical discectomy and fusion (ACDF) surgery using bone morphogenetic protein (BMP). SUMMARY OF BACKGROUND DATA: Although recombinant human BMP-2 is effective in promoting arthrodesis, many physicians avoid using it in anterior cervical spine fusions due to concern for increased incidence of dysphagia, significant pre-vertebral swelling, and airway compromise...
April 2016: Spine
Mengcun Chen, Shuhua Yang, Cao Yang, Weihua Xu, Shunan Ye, Jing Wang, Yong Feng, Wen Yang, Xianzhe Liu
OBJECTIVE The purpose of this study was to present an initial surgical experience in the management of 1- or 2-level degenerative disc disease of the cervical spine using biodegradable anterior cervical plates (bACPs) in anterior cervical discectomy and fusion (ACDF). The authors also aimed to provide insight into this critical and controversial clinical issue by clarifying outcomes for patients receiving bACPs and by comparing their outcomes with those achieved using a traditional metallic anterior cervical plate (mACP) implant...
August 2016: Journal of Neurosurgery. Spine
Rafael De la Garza-Ramos, Risheng Xu, Seba Ramhmdani, Thomas Kosztowski, Mohamad Bydon, Daniel M Sciubba, Jean-Paul Wolinsky, Timothy F Witham, Ziya L Gokaslan, Ali Bydon
OBJECTIVE The purpose of this study was to report the long-term clinical outcomes following 3- and 4-level anterior cervical discectomy and fusion (ACDF). METHODS A retrospective review of all adult neurosurgical patients undergoing elective ACDF for degenerative disease at a single institution between 1996 and 2013 was performed. Patients who underwent first-time 3- or 4-level ACDF were included; patients with previous cervical spine surgery, those undergoing anterior/posterior approaches, and those with corpectomy were excluded...
June 2016: Journal of Neurosurgery. Spine
Tobias A Mattei, Alisson R Teles, Dzung H Dinh
BACKGROUND CONTEXT: Zero-profile (also called self-locking, anchored or stand-alone cages) have been recently proposed as an interesting alternative for anterior cervical discectomy and fusion (ACDF), as they are supposed to reduce the rates of post-operative cage extrusion without necessarily incurring in the additional surgical time and increased rates of dysphagia associated with plating. Nevertheless, the exact indications of zero-profile anchored cages have not yet been established in the literature...
January 5, 2016: European Spine Journal
Nancy E Epstein
BACKGROUND: Steroids are often used in patients undergoing anterior cervical discectomy and fusion (ACDF) surgery to limit postoperative dysphagia. However, a major concern remains steroids' impact is on fusion. METHODS: In this prospective, randomized, double-blinded controlled study, the authors assessed the impact of steroids on swallowing/airway and fusion rates in 112 patients undergoing multilevel ACDF. The patients were randomly assigned to saline or dexamethasone groups prior to surgery; multiple other variables including different outcome analyses were also utilized over a 2-year postoperative period...
2015: Surgical Neurology International
Jiaming Liu, Xu Xiong, Xinhua Long, Yong Shu, Shanhu Huang, Dong Yang, Zhili Liu
STUDY DESIGN: A prospective study and a technical note. BACKGROUND: Autograft is considered to be the gold standard in achieving optimal fusion in anterior cervical discectomy and fusion (ACDF). In patients with combined postero-anterior cervical procedure, whether the cervical laminae harvested from laminectomy can be used as astructural bone graft in ACDF? Few studies have reported about this. OBJECTIVE: To describe the clinical and radio graphic outcomes in patients undergoing combined postero-anterior cervical surgery using autologous laminae as bone graft in ACDF...
2015: International Journal of Clinical and Experimental Medicine
Sang-Hun Lee, Addisu Mesfin, K Daniel Riew
BACKGROUND CONTEXT: Prevertebral soft-tissue swelling (PSTS) after anterior cervical spine surgery may result in postoperative catastrophic airway complications and persistent dysphagia. Systemic or local corticosteroids have been used to decrease complications related to PSTS. To date, studies using retropharyngeal steroid (RS) have not reported complications with local steroids such as infection, pseudarthrosis, and other systemic adverse effects. PURPOSE: The aim was to report delayed esophageal perforation in two patients who underwent anterior cervical spine surgery and RS use...
October 1, 2015: Spine Journal: Official Journal of the North American Spine Society
Øystein Helseth, Bjarne Lied, Charlotte Marie Halvorsen, Kåre Ekseth, Eirik Helseth
BACKGROUND: There is an increasing demand for surgery of degenerative spinal disease. Limited healthcare resources draw attention to the need for cost-effective treatments. Outpatient surgery, when safe and feasible, is more cost effective than inpatient surgery. OBJECTIVE: To study types and rates of complications after outpatient lumbar and cervical spine decompressions. METHODS: Complications were recorded prospectively in 1449 (1073 lumbar, 376 cervical) outpatients undergoing microsurgical decompression for degenerative spinal disease at the private Oslofjord Clinic from 2008 to 2013...
June 2015: Neurosurgery
Yuanyuan Chen, Huajing Chen, Peng Cao, Wen Yuan
PURPOSE: Our aim was to compare the safety and efficacy of anterior cervical discectomy and fusion (ACDF) using the Zero-P spacer versus the plate method in patients with cervical spine spondylosis. METHODS: Clinical and radiologic data from 69 patients undergoing two-level ACDF from January 2009 to May 2011 were collected prospectively. The Zero-P spacer was implanted in 37 patients (group A) and the anterior cervical plate and interbody cage in 32 (group B). Patients were followed for at least 3 years after surgery...
August 2015: European Spine Journal
Amit Nathani, Alexander E Weber, Trevor C Wahlquist, Gregory P Graziano, Paul Park, Rakesh D Patel
Dysphagia after anterior cervical discectomy and fusion (ACDF) is common, with a prevalence ranging between 28% and 57% of cases. However, nearly all cases resolve spontaneously within 2 years, thus identifying patients who require more detailed or invasive work-up is a challenging task for clinicians. A review of literature reveals a paucity of case reports detailing work-up and successful management options. The authors performed a clinical and radiographic review of a case of a 47-year-old female who presented with persistent dysphagia 3 years following anterior cervical spine surgery and was found to have an erosive pharyngeal defect with exposed spinal hardware...
2015: Case Reports in Orthopedics
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