Incidence and risk factors of dysphagia after cervical laminoplasty
Abstract Dysphagia is a known complication following anterior cervical spine surgery, but it has also been reported after laminoplasty. We sought to determine the incidence of dysphagia following cervical laminoplasty. Prospective, multicenter, observational study of patients who underwent cervical...
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Nature Portfolio
2025-06-01
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| Online Access: | https://doi.org/10.1038/s41598-025-04361-1 |
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| author | Tomoaki Shimizu Kento Inomata Masaki Tatsumura Takane Nakagawa Yosuke Ogata Shun Okuwaki Kotaro Sakashita Takahiro Sunami Hisanori Gamada Keigo Nagasawa Katsuya Nagashima Yosuke Takeuchi Itsuo Shiina Atsuo Hakoiwa Takeshi Ainoya Kousei Miura Hiroshi Noguchi Hiroshi Takahashi Toru Funayama Masashi Yamazaki Masao Koda |
| author_facet | Tomoaki Shimizu Kento Inomata Masaki Tatsumura Takane Nakagawa Yosuke Ogata Shun Okuwaki Kotaro Sakashita Takahiro Sunami Hisanori Gamada Keigo Nagasawa Katsuya Nagashima Yosuke Takeuchi Itsuo Shiina Atsuo Hakoiwa Takeshi Ainoya Kousei Miura Hiroshi Noguchi Hiroshi Takahashi Toru Funayama Masashi Yamazaki Masao Koda |
| author_sort | Tomoaki Shimizu |
| collection | DOAJ |
| description | Abstract Dysphagia is a known complication following anterior cervical spine surgery, but it has also been reported after laminoplasty. We sought to determine the incidence of dysphagia following cervical laminoplasty. Prospective, multicenter, observational study of patients who underwent cervical laminoplasty or posterior lumbar spinal surgery between April 2022 and May 2024. We measured clinical characteristics, operative data, radiological parameters, and perioperative visual analog scale (VAS) for neck and throat pain. Dysphagia was assessed using the 10-item Eating Assessment Tool preoperatively and 1 week postoperatively, with new-onset dysphagia defined as a worsening of ≧ 3 points from the preoperative score. There were 79 patients in the cervical group and 89 in the lumbar group. The incidence of new-onset dysphagia was significantly higher in the cervical group (10.1%) than in the lumbar group (2.2%, P = 0.046). Within the cervical group, patients who developed new-onset dysphagia had significantly higher VAS scores for postoperative neck pain and throat pain than those without dysphagia. The incidence of new-onset dysphagia after cervical laminoplasty was significantly higher than that in the lumbar group. Patients who developed new-onset dysphagia had significantly greater postoperative neck and throat pain, suggesting that postoperative pain is associated with the development of new-onset dysphagia. |
| format | Article |
| id | doaj-art-a47be770278647b5a9ca7a380fadc094 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-a47be770278647b5a9ca7a380fadc0942025-08-20T03:26:42ZengNature PortfolioScientific Reports2045-23222025-06-011511910.1038/s41598-025-04361-1Incidence and risk factors of dysphagia after cervical laminoplastyTomoaki Shimizu0Kento Inomata1Masaki Tatsumura2Takane Nakagawa3Yosuke Ogata4Shun Okuwaki5Kotaro Sakashita6Takahiro Sunami7Hisanori Gamada8Keigo Nagasawa9Katsuya Nagashima10Yosuke Takeuchi11Itsuo Shiina12Atsuo Hakoiwa13Takeshi Ainoya14Kousei Miura15Hiroshi Noguchi16Hiroshi Takahashi17Toru Funayama18Masashi Yamazaki19Masao Koda20Department of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery and Sports Medicine, Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General HospitalDepartment of Orthopaedic Surgery, Moriya Daiichi General HospitalDepartment of Orthopaedic Surgery, Tsukuba Memorial HospitalDepartment of Orthopaedic Surgery, Tsukuba Memorial HospitalDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaDepartment of Orthopedic Surgery, Institute of Medicine, University of TsukubaAbstract Dysphagia is a known complication following anterior cervical spine surgery, but it has also been reported after laminoplasty. We sought to determine the incidence of dysphagia following cervical laminoplasty. Prospective, multicenter, observational study of patients who underwent cervical laminoplasty or posterior lumbar spinal surgery between April 2022 and May 2024. We measured clinical characteristics, operative data, radiological parameters, and perioperative visual analog scale (VAS) for neck and throat pain. Dysphagia was assessed using the 10-item Eating Assessment Tool preoperatively and 1 week postoperatively, with new-onset dysphagia defined as a worsening of ≧ 3 points from the preoperative score. There were 79 patients in the cervical group and 89 in the lumbar group. The incidence of new-onset dysphagia was significantly higher in the cervical group (10.1%) than in the lumbar group (2.2%, P = 0.046). Within the cervical group, patients who developed new-onset dysphagia had significantly higher VAS scores for postoperative neck pain and throat pain than those without dysphagia. The incidence of new-onset dysphagia after cervical laminoplasty was significantly higher than that in the lumbar group. Patients who developed new-onset dysphagia had significantly greater postoperative neck and throat pain, suggesting that postoperative pain is associated with the development of new-onset dysphagia.https://doi.org/10.1038/s41598-025-04361-1Cervical laminoplastyDysphagiaMulticenter prospective studyComplication |
| spellingShingle | Tomoaki Shimizu Kento Inomata Masaki Tatsumura Takane Nakagawa Yosuke Ogata Shun Okuwaki Kotaro Sakashita Takahiro Sunami Hisanori Gamada Keigo Nagasawa Katsuya Nagashima Yosuke Takeuchi Itsuo Shiina Atsuo Hakoiwa Takeshi Ainoya Kousei Miura Hiroshi Noguchi Hiroshi Takahashi Toru Funayama Masashi Yamazaki Masao Koda Incidence and risk factors of dysphagia after cervical laminoplasty Scientific Reports Cervical laminoplasty Dysphagia Multicenter prospective study Complication |
| title | Incidence and risk factors of dysphagia after cervical laminoplasty |
| title_full | Incidence and risk factors of dysphagia after cervical laminoplasty |
| title_fullStr | Incidence and risk factors of dysphagia after cervical laminoplasty |
| title_full_unstemmed | Incidence and risk factors of dysphagia after cervical laminoplasty |
| title_short | Incidence and risk factors of dysphagia after cervical laminoplasty |
| title_sort | incidence and risk factors of dysphagia after cervical laminoplasty |
| topic | Cervical laminoplasty Dysphagia Multicenter prospective study Complication |
| url | https://doi.org/10.1038/s41598-025-04361-1 |
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