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Effect of Swallowing Function After ROI-C Anterior Cervical Interbody Fusion

Received: 22 December 2016     Accepted: 3 January 2017     Published: 21 January 2017
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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 <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

Keywords

Anterior Cervical Decompression and Fusion, Thickness of Prevertebral Soft Tissue, Dysphagia

References
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[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.
Cite This Article
  • 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

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    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

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    AMA 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

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  • @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}
    }
    

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  • 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  - 

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Author Information
  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China

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