The incidence and risk factors related to post-operative dysphagia after anterior cervical spine surgery: a prospective study
Introduction Post-surgical dysphagia is one complication particularly common in early postoperative period after Anterior cervical spine surgery (ACSS). However, the pathophysiology of dysphagia after surgery has not been well understood. This study aimed to analyse the frequency and risk factors...
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2025-08-01
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| Series: | Гений oртопедии |
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| author | Jagdeep Singh Navpreet Singh Pranav Gupta Bansal Kapil |
| author_facet | Jagdeep Singh Navpreet Singh Pranav Gupta Bansal Kapil |
| author_sort | Jagdeep Singh |
| collection | DOAJ |
| description | Introduction Post-surgical dysphagia is one complication particularly common in early postoperative period
after Anterior cervical spine surgery (ACSS). However, the pathophysiology of dysphagia after surgery has
not been well understood.
This study aimed to analyse the frequency and risk factors for developing dysphagia following ACSS and find
an effective program to prevent and treat.
Materials and methods A prospective observational study was conducted on 50 patients undergoing ACSS
from April 2021 to Oct 2022 at the Department of Orthopedics, Guru Gobind Singh Medical College and Hospital,
Punjab (India). Patients were in the age group of 27 to 60 years. The indications for cervical surgeries were
traumatic, degenerative, infective and neoplastic involving C2 to C7 vertebra with signs of neural compression
unresponsive to conservative treatment. Data on patient age, gender, duration of surgery, intraoperative blood
loss, segment operated and the number of segments operated were collected. Follow up time was 24 weeks.
Results Incidence of dysphagia was 20 % (10/50) within first week which reduced to zero at completion
of six months of follow-up. Dysphagia was present in 2 % (1/50) patients in age group 21–40 years
and 18 % (9/50) patients in age group of 41–60 years. 14.6 % (6/41) males and 44 % (4/9) of females had
dysphagia. Prevalence of dysphagia in patients with one affected segment was 9.5 % (4/42), two segments
was 80 % (4/5) and three segments was 50 % (1/2). Mean duration of surgery in patients with post-operative
dysphagia was 115 mins. Mean blood loss in patients with post-operative dysphagia was 171.40 mL Mean Et
(endotracheal) tube cuff pressure in patients with post-operative dysphagia was 24.70 cm H2O. Within the first
week of surgery, there were 10 cases out of which one was mild, six were moderate and three were severe.
Conclusion Despite the fact that some inconsistency is there in the literature regarding risk factors it can be
safely concluded from our study that incidence of post-operative dysphagia can be reduced by decreasing blood
loss during surgery, reducing surgery time and optimizing Endotracheal tube cuff pressure during surgery. |
| format | Article |
| id | doaj-art-8fa522e4b335426ebfcb843e3190c58d |
| institution | Kabale University |
| issn | 1028-4427 2542-131X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj-art-8fa522e4b335426ebfcb843e3190c58d2025-08-20T06:29:23ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2025-08-0131447147710.18019/1028-4427-2025-31-4-471-477The incidence and risk factors related to post-operative dysphagia after anterior cervical spine surgery: a prospective studyJagdeep Singh0https://orcid.org/0000-0002-1508-2745Navpreet Singh1Pranav Gupta2https://orcid.org/0000-0003-4936-1950Bansal Kapil3GGS Medical College and Hospital, Faridkot, Punjab, IndiaGGS Medical College and Hospital, Faridkot, Punjab, IndiaGGS Medical College and Hospital, Faridkot, Punjab, IndiaGGS Medical College and Hospital, Faridkot, Punjab, IndiaIntroduction Post-surgical dysphagia is one complication particularly common in early postoperative period after Anterior cervical spine surgery (ACSS). However, the pathophysiology of dysphagia after surgery has not been well understood. This study aimed to analyse the frequency and risk factors for developing dysphagia following ACSS and find an effective program to prevent and treat. Materials and methods A prospective observational study was conducted on 50 patients undergoing ACSS from April 2021 to Oct 2022 at the Department of Orthopedics, Guru Gobind Singh Medical College and Hospital, Punjab (India). Patients were in the age group of 27 to 60 years. The indications for cervical surgeries were traumatic, degenerative, infective and neoplastic involving C2 to C7 vertebra with signs of neural compression unresponsive to conservative treatment. Data on patient age, gender, duration of surgery, intraoperative blood loss, segment operated and the number of segments operated were collected. Follow up time was 24 weeks. Results Incidence of dysphagia was 20 % (10/50) within first week which reduced to zero at completion of six months of follow-up. Dysphagia was present in 2 % (1/50) patients in age group 21–40 years and 18 % (9/50) patients in age group of 41–60 years. 14.6 % (6/41) males and 44 % (4/9) of females had dysphagia. Prevalence of dysphagia in patients with one affected segment was 9.5 % (4/42), two segments was 80 % (4/5) and three segments was 50 % (1/2). Mean duration of surgery in patients with post-operative dysphagia was 115 mins. Mean blood loss in patients with post-operative dysphagia was 171.40 mL Mean Et (endotracheal) tube cuff pressure in patients with post-operative dysphagia was 24.70 cm H2O. Within the first week of surgery, there were 10 cases out of which one was mild, six were moderate and three were severe. Conclusion Despite the fact that some inconsistency is there in the literature regarding risk factors it can be safely concluded from our study that incidence of post-operative dysphagia can be reduced by decreasing blood loss during surgery, reducing surgery time and optimizing Endotracheal tube cuff pressure during surgery.anterior cervical spine surgeryblood losscuff pressuredysphagia |
| spellingShingle | Jagdeep Singh Navpreet Singh Pranav Gupta Bansal Kapil The incidence and risk factors related to post-operative dysphagia after anterior cervical spine surgery: a prospective study Гений oртопедии anterior cervical spine surgery blood loss cuff pressure dysphagia |
| title | The incidence and risk factors related to post-operative dysphagia after anterior cervical spine surgery: a prospective study |
| title_full | The incidence and risk factors related to post-operative dysphagia after anterior cervical spine surgery: a prospective study |
| title_fullStr | The incidence and risk factors related to post-operative dysphagia after anterior cervical spine surgery: a prospective study |
| title_full_unstemmed | The incidence and risk factors related to post-operative dysphagia after anterior cervical spine surgery: a prospective study |
| title_short | The incidence and risk factors related to post-operative dysphagia after anterior cervical spine surgery: a prospective study |
| title_sort | incidence and risk factors related to post operative dysphagia after anterior cervical spine surgery a prospective study |
| topic | anterior cervical spine surgery blood loss cuff pressure dysphagia |
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