Predictive Factors for Dysphagia After Anterior Cervical Spine Surgery: A Prospective Multicenter Study

作者全名："Chen, Yu; Zhu, Jingzhen; Zhu, Fengzhao; Feng, Chencheng; Luo, Chunmei; Song, Caiping"

作者地址："[Chen, Yu] Army Med Univ, Chongqing, Peoples R China; [Zhu, Fengzhao; Feng, Chencheng; Luo, Chunmei] Army Med Univ, Xinqiao Hosp, Dept Orthopaed, Chongqing, Peoples R China; [Song, Caiping] Army Med Univ, Dept Off Hosp, Xinqiao Hosp, Chongqing, Peoples R China; [Zhu, Jingzhen] Army Med Univ, Xinqiao Hosp, Dept Urol, Chongqing, Peoples R China"

通信作者："Song, CP (通讯作者)，Army Med Univ, Dept Off Hosp, Xinqiao Hosp, Chongqing, Peoples R China."

来源：WORLD NEUROSURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001088441500001

JCR分区：Q2

影响因子：2

年份：2023

卷号：178

期号：　

开始页：E533

结束页：E539

文献类型：Article

关键词：Anterior cervical spine surgery; Dysphagia; Intraoperative neurophysiological monitoring; Multicentre study

摘要："-OBJECTIVE: To identify the incidence and predictors of postoperative dysphagia in patients who undergo anterior cervical spine surgery (ACSS) by utilizing the Eating Assessment Tool (EAT-10).-METHODS: A multicenter prospective study was under-taken at three hospitals to evaluate patients undergoing ACSS between January 2021 and January 2023. Included patients were aged 18-80 years and were undergoing primary or revision ACSS. Dysphagia was assessed using the validated EAT-10 questionnaire. Patients with dysphagia were included in the observation group, and those without dysphagia were included in the control group.-RESULTS: Of the 343 patients enrolled, 50 patients (14.6%) had EAT-10 scores of 3 or more at the 6-month follow-up. In the univariate analysis, patients with dysphagia at 7 days had a longer operative time, were current smokers, had involvement of vertebral bodies at C4 and above, and underwent intraoperative neurophysiological monitoring. Patients with dysphagia at 6 months had involvement of vertebral bodies at C4 and above and underwent intraoperative neurophysiological monitoring. In the multivariate analysis to determine associations with prolonged dysphagia, only the involvement of vertebral bodies at C4 and above (odds ratio 3.883, 95% confidence interval 1.847-8.165, P = 0.001) and intraoperative neurophysiological monitoring (odds ratio 0.273, 95% confidence interval 0.080-0.931, P = 0.038) remained significant.-CONCLUSIONS: Dysphagia is common after ACSS, affecting more than 67.5% of patients at 7 days post-operatively, but over time, the incidence of dysphagia gradually decreases. Involvement of the vertebral bodies at C4 and above is a risk factor for dysphagia after ACSS, and intraoperative neurophysiological monitoring is a protective factor."

基金机构：Chongqing Science and Health Joint Project [2020FYYX035]

基金资助正文：Conflict of interest statement: This research was funded by the Chongqing Science and Health Joint Project (2020FYYX035) .