Impact of Frailty and Cervical Radiographic Parameters on Postoperative Dysphagia Following Anterior Cervical Spine Surgery
Retrospective review of a prospectively collected registry. The purpose of the present study was to investigate the impact of frailty and radiographical parameters on postoperative dysphagia after anterior cervical spine surgery (ACSS). There is a growing body of literature indicating an association...
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| Vydáno v: | Spine (Philadelphia, Pa. 1976) Ročník 49; číslo 2; s. 81 |
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15.01.2024
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| Abstract | Retrospective review of a prospectively collected registry.
The purpose of the present study was to investigate the impact of frailty and radiographical parameters on postoperative dysphagia after anterior cervical spine surgery (ACSS).
There is a growing body of literature indicating an association between frailty and increased postoperative complications following various surgeries. However, few studies have investigated the relationship between frailty and postoperative dysphagia after anterior cervical spine surgery.
Patients who underwent anterior cervical spine surgery for the treatment of degenerative cervical pathology were included. Frailty and dysphagia were assessed by the modified Frailty Index-11 (mFI-11) and Eat Assessment Tool 10 (EAT-10), respectively. We also collected clinical demographics and cervical alignment parameters previously reported as risk factors for postoperative dysphagia. Multivariable logistic regression was performed to identify the odds ratio (OR) of postoperative dysphagia at early (2-6 weeks) and late postoperative time points (1-2 years).
Ninety-five patients who underwent ACSS were included in the study. Postoperative dysphagia occurred in 31 patients (32.6%) at the early postoperative time point. Multivariable logistic regression identified higher mFI-11 score (OR, 4.03; 95% CI: 1.24-13.16; P =0.021), overcorrection of TS-CL after surgery (TS-CL, T1 slope minus C2-C7 lordosis; OR, 0.86; 95% CI: 0.79-0.95; P =0.003), and surgery at C3/C4 (OR, 12.38; 95% CI: 1.41-108.92; P =0.023) as factors associated with postoperative dysphagia.
Frailty, as assessed by the mFI-11, was significantly associated with postoperative dysphagia after ACSS. Additional factors associated with postoperative dysphagia were overcorrection of TS-CL and surgery at C3/C4. These findings emphasize the importance of assessing frailty and cervical alignment in the decision-making process preceding ACSS. |
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| AbstractList | Retrospective review of a prospectively collected registry.STUDY DESIGNRetrospective review of a prospectively collected registry.The purpose of the present study was to investigate the impact of frailty and radiographical parameters on postoperative dysphagia after anterior cervical spine surgery (ACSS).OBJECTIVEThe purpose of the present study was to investigate the impact of frailty and radiographical parameters on postoperative dysphagia after anterior cervical spine surgery (ACSS).There is a growing body of literature indicating an association between frailty and increased postoperative complications following various surgeries. However, few studies have investigated the relationship between frailty and postoperative dysphagia after anterior cervical spine surgery.SUMMARY OF BACKGROUND DATAThere is a growing body of literature indicating an association between frailty and increased postoperative complications following various surgeries. However, few studies have investigated the relationship between frailty and postoperative dysphagia after anterior cervical spine surgery.Patients who underwent anterior cervical spine surgery for the treatment of degenerative cervical pathology were included. Frailty and dysphagia were assessed by the modified Frailty Index-11 (mFI-11) and Eat Assessment Tool 10 (EAT-10), respectively. We also collected clinical demographics and cervical alignment parameters previously reported as risk factors for postoperative dysphagia. Multivariable logistic regression was performed to identify the odds ratio (OR) of postoperative dysphagia at early (2-6 weeks) and late postoperative time points (1-2 years).MATERIALS AND METHODSPatients who underwent anterior cervical spine surgery for the treatment of degenerative cervical pathology were included. Frailty and dysphagia were assessed by the modified Frailty Index-11 (mFI-11) and Eat Assessment Tool 10 (EAT-10), respectively. We also collected clinical demographics and cervical alignment parameters previously reported as risk factors for postoperative dysphagia. Multivariable logistic regression was performed to identify the odds ratio (OR) of postoperative dysphagia at early (2-6 weeks) and late postoperative time points (1-2 years).Ninety-five patients who underwent ACSS were included in the study. Postoperative dysphagia occurred in 31 patients (32.6%) at the early postoperative time point. Multivariable logistic regression identified higher mFI-11 score (OR, 4.03; 95% CI: 1.24-13.16; P =0.021), overcorrection of TS-CL after surgery (TS-CL, T1 slope minus C2-C7 lordosis; OR, 0.86; 95% CI: 0.79-0.95; P =0.003), and surgery at C3/C4 (OR, 12.38; 95% CI: 1.41-108.92; P =0.023) as factors associated with postoperative dysphagia.RESULTSNinety-five patients who underwent ACSS were included in the study. Postoperative dysphagia occurred in 31 patients (32.6%) at the early postoperative time point. Multivariable logistic regression identified higher mFI-11 score (OR, 4.03; 95% CI: 1.24-13.16; P =0.021), overcorrection of TS-CL after surgery (TS-CL, T1 slope minus C2-C7 lordosis; OR, 0.86; 95% CI: 0.79-0.95; P =0.003), and surgery at C3/C4 (OR, 12.38; 95% CI: 1.41-108.92; P =0.023) as factors associated with postoperative dysphagia.Frailty, as assessed by the mFI-11, was significantly associated with postoperative dysphagia after ACSS. Additional factors associated with postoperative dysphagia were overcorrection of TS-CL and surgery at C3/C4. These findings emphasize the importance of assessing frailty and cervical alignment in the decision-making process preceding ACSS.CONCLUSIONSFrailty, as assessed by the mFI-11, was significantly associated with postoperative dysphagia after ACSS. Additional factors associated with postoperative dysphagia were overcorrection of TS-CL and surgery at C3/C4. These findings emphasize the importance of assessing frailty and cervical alignment in the decision-making process preceding ACSS. Retrospective review of a prospectively collected registry. The purpose of the present study was to investigate the impact of frailty and radiographical parameters on postoperative dysphagia after anterior cervical spine surgery (ACSS). There is a growing body of literature indicating an association between frailty and increased postoperative complications following various surgeries. However, few studies have investigated the relationship between frailty and postoperative dysphagia after anterior cervical spine surgery. Patients who underwent anterior cervical spine surgery for the treatment of degenerative cervical pathology were included. Frailty and dysphagia were assessed by the modified Frailty Index-11 (mFI-11) and Eat Assessment Tool 10 (EAT-10), respectively. We also collected clinical demographics and cervical alignment parameters previously reported as risk factors for postoperative dysphagia. Multivariable logistic regression was performed to identify the odds ratio (OR) of postoperative dysphagia at early (2-6 weeks) and late postoperative time points (1-2 years). Ninety-five patients who underwent ACSS were included in the study. Postoperative dysphagia occurred in 31 patients (32.6%) at the early postoperative time point. Multivariable logistic regression identified higher mFI-11 score (OR, 4.03; 95% CI: 1.24-13.16; P =0.021), overcorrection of TS-CL after surgery (TS-CL, T1 slope minus C2-C7 lordosis; OR, 0.86; 95% CI: 0.79-0.95; P =0.003), and surgery at C3/C4 (OR, 12.38; 95% CI: 1.41-108.92; P =0.023) as factors associated with postoperative dysphagia. Frailty, as assessed by the mFI-11, was significantly associated with postoperative dysphagia after ACSS. Additional factors associated with postoperative dysphagia were overcorrection of TS-CL and surgery at C3/C4. These findings emphasize the importance of assessing frailty and cervical alignment in the decision-making process preceding ACSS. |
| Author | Subramanian, Tejas Pajak, Anthony Singh, Nishtha Kim, Yeo Eun Shahi, Pratyush Dowdell, James Lu, Amy Singh, Sumedha Korsun, Maximilian Qureshi, Sheeraz A Asada, Tomoyuki Sheha, Evan D Araghi, Kasra Tuma, Olivia Maayan, Omri Iyer, Sravisht Mai, Eric |
| Author_xml | – sequence: 1 givenname: Tomoyuki surname: Asada fullname: Asada, Tomoyuki organization: Department of Orthopaedic Surgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki Prefecture, Japan – sequence: 2 givenname: Sumedha surname: Singh fullname: Singh, Sumedha organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 3 givenname: Omri surname: Maayan fullname: Maayan, Omri organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 4 givenname: Pratyush surname: Shahi fullname: Shahi, Pratyush organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 5 givenname: Nishtha surname: Singh fullname: Singh, Nishtha organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 6 givenname: Tejas surname: Subramanian fullname: Subramanian, Tejas organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 7 givenname: Kasra surname: Araghi fullname: Araghi, Kasra organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 8 givenname: Maximilian surname: Korsun fullname: Korsun, Maximilian organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 9 givenname: Olivia surname: Tuma fullname: Tuma, Olivia organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 10 givenname: Anthony surname: Pajak fullname: Pajak, Anthony organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 11 givenname: Amy surname: Lu fullname: Lu, Amy organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 12 givenname: Eric surname: Mai fullname: Mai, Eric organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 13 givenname: Yeo Eun surname: Kim fullname: Kim, Yeo Eun organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 14 givenname: James surname: Dowdell fullname: Dowdell, James organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 15 givenname: Evan D surname: Sheha fullname: Sheha, Evan D organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 16 givenname: Sravisht surname: Iyer fullname: Iyer, Sravisht organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY – sequence: 17 givenname: Sheeraz A surname: Qureshi fullname: Qureshi, Sheeraz A organization: Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY |
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| Snippet | Retrospective review of a prospectively collected registry.
The purpose of the present study was to investigate the impact of frailty and radiographical... Retrospective review of a prospectively collected registry.STUDY DESIGNRetrospective review of a prospectively collected registry.The purpose of the present... |
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| SubjectTerms | Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - pathology Cervical Vertebrae - surgery Deglutition Disorders - diagnostic imaging Deglutition Disorders - epidemiology Deglutition Disorders - etiology Frailty - complications Humans Lordosis - surgery Postoperative Complications - diagnostic imaging Postoperative Complications - epidemiology Postoperative Complications - etiology Radiography Retrospective Studies |
| Title | Impact of Frailty and Cervical Radiographic Parameters on Postoperative Dysphagia Following Anterior Cervical Spine Surgery |
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