Prospective Comparative Study of Dysphagia after Subaxial Cervical Spine Surgery: Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament Ossification
We prospectively investigated the postoperative dysphagia in cervical posterior longitudinal ligament ossification (C-OPLL) and cervical spondylotic myelopathy (CSM) to identify the risk factors of each disease and the incidence. A series of 55 cases with C-OPLL: 13 anterior decompression with fusio...
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MDPI AG
2023-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/5/1774 |
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| author | Kyohei Sakaki Kenichiro Sakai Yoshiyasu Arai Ichiro Torigoe Masaki Tomori Takashi Hirai Hiroaki Onuma Yutaka Kobayashi Atsushi Okawa Toshitaka Yoshii |
| author_facet | Kyohei Sakaki Kenichiro Sakai Yoshiyasu Arai Ichiro Torigoe Masaki Tomori Takashi Hirai Hiroaki Onuma Yutaka Kobayashi Atsushi Okawa Toshitaka Yoshii |
| author_sort | Kyohei Sakaki |
| collection | DOAJ |
| description | We prospectively investigated the postoperative dysphagia in cervical posterior longitudinal ligament ossification (C-OPLL) and cervical spondylotic myelopathy (CSM) to identify the risk factors of each disease and the incidence. A series of 55 cases with C-OPLL: 13 anterior decompression with fusion (ADF), 16 posterior decompression with fusion (PDF), and 26 laminoplasty (LAMP), and a series of 123 cases with CSM: 61 ADF, 5 PDF, and 57 LAMP, were included. Vertebral level, number of segments, approach, and with or without fusion, and pre and postoperative values of Bazaz dysphagia score, C2-7 lordotic angle (∠C2-7), cervical range of motion, O-C2 lordotic angle, cervical Japanese Orthopedic Association score, and visual analog scale for neck pain were investigated. New dysphagia was defined as an increase in the Bazaz dysphagia score by one grade or more than one year after surgery. New dysphagia occurred in 12 cases with C-OPLL; 6 with ADF (46.2%), 4 with PDF (25%), 2 with LAMP (7.7%), and in 19 cases with CSM; 15 with ADF (24.6%), 1 with PDF (20%), and 3 with LAMP (1.8%). There was no significant difference in the incidence between the two diseases. Multivariate analysis demonstrated that increased ∠C2-7 was a risk factor for both diseases. |
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| language | English |
| last_indexed | 2024-03-11T07:20:48Z |
| publishDate | 2023-02-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-ada75e5e69fa4646b0df1825f70a43a22023-11-17T07:58:09ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01125177410.3390/jcm12051774Prospective Comparative Study of Dysphagia after Subaxial Cervical Spine Surgery: Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament OssificationKyohei Sakaki0Kenichiro Sakai1Yoshiyasu Arai2Ichiro Torigoe3Masaki Tomori4Takashi Hirai5Hiroaki Onuma6Yutaka Kobayashi7Atsushi Okawa8Toshitaka Yoshii9Department of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchishi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchishi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchishi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchishi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchishi 332-8558, JapanDepartment of Orthopaedics, Graduate School, Tokyo Medical and Dental University, Tokyo 108-0075, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchishi 332-8558, JapanDepartment of Orthopedic Surgery, Saiseikai Kawaguchi General Hospital, 5-11-5 Nishikawaguchi, Kawaguchishi 332-8558, JapanDepartment of Orthopaedics, Graduate School, Tokyo Medical and Dental University, Tokyo 108-0075, JapanDepartment of Orthopaedics, Graduate School, Tokyo Medical and Dental University, Tokyo 108-0075, JapanWe prospectively investigated the postoperative dysphagia in cervical posterior longitudinal ligament ossification (C-OPLL) and cervical spondylotic myelopathy (CSM) to identify the risk factors of each disease and the incidence. A series of 55 cases with C-OPLL: 13 anterior decompression with fusion (ADF), 16 posterior decompression with fusion (PDF), and 26 laminoplasty (LAMP), and a series of 123 cases with CSM: 61 ADF, 5 PDF, and 57 LAMP, were included. Vertebral level, number of segments, approach, and with or without fusion, and pre and postoperative values of Bazaz dysphagia score, C2-7 lordotic angle (∠C2-7), cervical range of motion, O-C2 lordotic angle, cervical Japanese Orthopedic Association score, and visual analog scale for neck pain were investigated. New dysphagia was defined as an increase in the Bazaz dysphagia score by one grade or more than one year after surgery. New dysphagia occurred in 12 cases with C-OPLL; 6 with ADF (46.2%), 4 with PDF (25%), 2 with LAMP (7.7%), and in 19 cases with CSM; 15 with ADF (24.6%), 1 with PDF (20%), and 3 with LAMP (1.8%). There was no significant difference in the incidence between the two diseases. Multivariate analysis demonstrated that increased ∠C2-7 was a risk factor for both diseases.https://www.mdpi.com/2077-0383/12/5/1774ossification of the posterior longitudinal ligamentcervical spondylotic myelopathysurgical complicationpostoperative dysphagia |
| spellingShingle | Kyohei Sakaki Kenichiro Sakai Yoshiyasu Arai Ichiro Torigoe Masaki Tomori Takashi Hirai Hiroaki Onuma Yutaka Kobayashi Atsushi Okawa Toshitaka Yoshii Prospective Comparative Study of Dysphagia after Subaxial Cervical Spine Surgery: Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament Ossification Journal of Clinical Medicine ossification of the posterior longitudinal ligament cervical spondylotic myelopathy surgical complication postoperative dysphagia |
| title | Prospective Comparative Study of Dysphagia after Subaxial Cervical Spine Surgery: Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament Ossification |
| title_full | Prospective Comparative Study of Dysphagia after Subaxial Cervical Spine Surgery: Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament Ossification |
| title_fullStr | Prospective Comparative Study of Dysphagia after Subaxial Cervical Spine Surgery: Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament Ossification |
| title_full_unstemmed | Prospective Comparative Study of Dysphagia after Subaxial Cervical Spine Surgery: Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament Ossification |
| title_short | Prospective Comparative Study of Dysphagia after Subaxial Cervical Spine Surgery: Cervical Spondylotic Myelopathy and Posterior Longitudinal Ligament Ossification |
| title_sort | prospective comparative study of dysphagia after subaxial cervical spine surgery cervical spondylotic myelopathy and posterior longitudinal ligament ossification |
| topic | ossification of the posterior longitudinal ligament cervical spondylotic myelopathy surgical complication postoperative dysphagia |
| url | https://www.mdpi.com/2077-0383/12/5/1774 |
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