The difference of swallowing function between a new zero-notch anterior cervical interbody fusion device (ROI-C) and classical method with the plate using in anterior cervical decompression and fusion (ACDF) were discussed and analyzed. 57 cases in the First Affiliated Hospital of Jinan University from Feb 2013 to Mar 2016 who underwent ACDF were retrospectively reviewed. There were 33 cases in group using with ROI-C and 24 cases in group using with plate. The difference of dysphagia incidence and severity were analyzed by comparing with the image data before and after operation. The dysphagia correlative risk factors analyzed by logistic regression test were internal fixation material and thickness of 3-days post-operative prevertebral soft tissue (PST). When the PST (3-days post-operative) was larger than 10.44mm, the chance of developing postoperative was significantly greater. The thickness of 3-days post-operative PST in ROI-C group was significantly lower than that in plate group (P <0.05). The thickness of 3-days post-operative PST swelling width ROI-C group was significantly lower than that in plate group (P <0.05). The index of 3-days post-operative PST was lower but no significant in ROI-C group than that of group Plate (P >0.05). 3-days post-operation, the dysphagia incidence and severity were significantly lower in ROI-C group than that in plate group (P <0.05). The dysphagia correlative risk factors are internal fixation material and thickness of 3-days post-operative PST. When the 3-days post-operative PST larger than 10.44 mm, the chance of developing postoperative is significantly greater. Zero-notch ROI-C anterior cervical interbody fusion device is associated with less stimulations to esophagus, lower postoperative dysphagia incidence, milder severity of dysphagia and shorter period of dysphagia in ACDF.
Published in | Journal of Surgery (Volume 4, Issue 6) |
DOI | 10.11648/j.js.20160406.14 |
Page(s) | 141-145 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Anterior Cervical Decompression and Fusion, Thickness of Prevertebral Soft Tissue, Dysphagia
[1] | Denaro, V. and A. Di Martino, Cervical spine surgery: an historical perspective. Clin Orthop Relat Res, 2011, 469 (3): 639-48. |
[2] | Bednar, D. A. and W. Al-Tunaib, Failure of reconstitution of open-section, posterior iliac-wing bone graft donor sites after lumbar spinal fusion. Observations with implications for the etiology of donor site pain. Eur Spine J, 2005, 14 (1): 95-8. |
[3] | Riley, L. H., 3rd, A. R. Vaccaro, J. R. Dettori, and R. Hashimoto, Postoperative dysphagia in anterior cervical spine surgery. Spine (Phila Pa 1976), 2010, 35 (9 Suppl): S76-85. |
[4] | Lee, M. J., R. Bazaz, C. G. Furey, and J. Yoo, Influence of anterior cervical plate design on Dysphagia: a 2-year prospective longitudinal follow-up study. J Spinal Disord Tech, 2005, 18 (5): 406-9. |
[5] | Baron, E. M., A. M. Soliman, J. P. Gaughan, L. Simpson, and W. F. Young, Dysphagia, hoarseness, and unilateral true vocal fold motion impairment following anterior cervical diskectomy and fusion. Ann Otol Rhinol Laryngol, 2003, 112 (11): 921-6. |
[6] | Suk, K. S., K. T. Kim, S. H. Lee, and S. W. Park, Prevertebral soft tissue swelling after anterior cervical discectomy and fusion with plate fixation. Int Orthop, 2006, 30 (4): 290-4. |
[7] | Hacker, R. J., J. C. Cauthen, T. J. Gilbert, and S. L. Griffith, A prospective randomized multicenter clinical evaluation of an anterior cervical fusion cage. Spine (Phila Pa 1976), 2000, 25 (20): 2646-54; discussion 2655. |
[8] | Dai, L. Y. and L. S. Jia, Radiographic measurement of the prevertebral soft tissue of cervical vertebrae. Chin Med J (Engl), 1994, 107 (6): 471-3. |
[9] | Yue, W. M., W. Brodner, and T. R. Highland, Persistent swallowing and voice problems after anterior cervical discectomy and fusion with allograft and plating: a 5- to 11-year follow-up study. Eur Spine J, 2005, 14 (7): 677-82. |
[10] | Hofstetter, C. P., K. Kesavabhotla, and J. A. Boockvar, Zero-profile Anchored Spacer Reduces Rate of Dysphagia Compared With ACDF With Anterior Plating. J Spinal Disord Tech, 2015, 28 (5): E284-90. |
APA Style
Guowei Zhang, Zhaohui Chen, Qiuling Liu, Zhisheng Ji, Chunhai Lan, et al. (2017). Effect of Swallowing Function After ROI-C Anterior Cervical Interbody Fusion. Journal of Surgery, 4(6), 141-145. https://doi.org/10.11648/j.js.20160406.14
ACS Style
Guowei Zhang; Zhaohui Chen; Qiuling Liu; Zhisheng Ji; Chunhai Lan, et al. Effect of Swallowing Function After ROI-C Anterior Cervical Interbody Fusion. J. Surg. 2017, 4(6), 141-145. doi: 10.11648/j.js.20160406.14
@article{10.11648/j.js.20160406.14, author = {Guowei Zhang and Zhaohui Chen and Qiuling Liu and Zhisheng Ji and Chunhai Lan and Hongsheng Lin}, title = {Effect of Swallowing Function After ROI-C Anterior Cervical Interbody Fusion}, journal = {Journal of Surgery}, volume = {4}, number = {6}, pages = {141-145}, doi = {10.11648/j.js.20160406.14}, url = {https://doi.org/10.11648/j.js.20160406.14}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20160406.14}, abstract = {The difference of swallowing function between a new zero-notch anterior cervical interbody fusion device (ROI-C) and classical method with the plate using in anterior cervical decompression and fusion (ACDF) were discussed and analyzed. 57 cases in the First Affiliated Hospital of Jinan University from Feb 2013 to Mar 2016 who underwent ACDF were retrospectively reviewed. There were 33 cases in group using with ROI-C and 24 cases in group using with plate. The difference of dysphagia incidence and severity were analyzed by comparing with the image data before and after operation. The dysphagia correlative risk factors analyzed by logistic regression test were internal fixation material and thickness of 3-days post-operative prevertebral soft tissue (PST). When the PST (3-days post-operative) was larger than 10.44mm, the chance of developing postoperative was significantly greater. The thickness of 3-days post-operative PST in ROI-C group was significantly lower than that in plate group (P P P >0.05). 3-days post-operation, the dysphagia incidence and severity were significantly lower in ROI-C group than that in plate group (P <0.05). The dysphagia correlative risk factors are internal fixation material and thickness of 3-days post-operative PST. When the 3-days post-operative PST larger than 10.44 mm, the chance of developing postoperative is significantly greater. Zero-notch ROI-C anterior cervical interbody fusion device is associated with less stimulations to esophagus, lower postoperative dysphagia incidence, milder severity of dysphagia and shorter period of dysphagia in ACDF.}, year = {2017} }
TY - JOUR T1 - Effect of Swallowing Function After ROI-C Anterior Cervical Interbody Fusion AU - Guowei Zhang AU - Zhaohui Chen AU - Qiuling Liu AU - Zhisheng Ji AU - Chunhai Lan AU - Hongsheng Lin Y1 - 2017/01/21 PY - 2017 N1 - https://doi.org/10.11648/j.js.20160406.14 DO - 10.11648/j.js.20160406.14 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 141 EP - 145 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20160406.14 AB - The difference of swallowing function between a new zero-notch anterior cervical interbody fusion device (ROI-C) and classical method with the plate using in anterior cervical decompression and fusion (ACDF) were discussed and analyzed. 57 cases in the First Affiliated Hospital of Jinan University from Feb 2013 to Mar 2016 who underwent ACDF were retrospectively reviewed. There were 33 cases in group using with ROI-C and 24 cases in group using with plate. The difference of dysphagia incidence and severity were analyzed by comparing with the image data before and after operation. The dysphagia correlative risk factors analyzed by logistic regression test were internal fixation material and thickness of 3-days post-operative prevertebral soft tissue (PST). When the PST (3-days post-operative) was larger than 10.44mm, the chance of developing postoperative was significantly greater. The thickness of 3-days post-operative PST in ROI-C group was significantly lower than that in plate group (P P P >0.05). 3-days post-operation, the dysphagia incidence and severity were significantly lower in ROI-C group than that in plate group (P <0.05). The dysphagia correlative risk factors are internal fixation material and thickness of 3-days post-operative PST. When the 3-days post-operative PST larger than 10.44 mm, the chance of developing postoperative is significantly greater. Zero-notch ROI-C anterior cervical interbody fusion device is associated with less stimulations to esophagus, lower postoperative dysphagia incidence, milder severity of dysphagia and shorter period of dysphagia in ACDF. VL - 4 IS - 6 ER -