Dysphagia and Satisfaction Following Anterior Cervical Spine Surgery: A Prospective Observation Trial.
Publication/Presentation Date
2-1-2022
Abstract
STUDY DESIGN: Prospective observation.
OBJECTIVE: To assess the effect of dysphagia on patient satisfaction following anterior cervical discectomy and fusion.
BACKGROUND: Difficulty with swallowing is a common complaint following anterior cervical spine surgery. The exact impact of this issue on the patient's overall satisfaction is unknown because of its often-transient nature.
MATERIALS AND METHODS: A prospective evaluation of all patients from a single surgeon undergoing an anterior cervical spine surgery. Dysphagia was evaluated both preoperatively and postoperatively at set intervals via a combination of 3 validated scoring systems. Mean satisfaction scores at 6 months was evaluated at 6 months via modified CSRS survey. Comparative analysis was performed to determine if there was any relationship between the 2 outcomes.
RESULTS: A total of 96.77% (68/71) of enrolled patients completed all of their follow-up surveys. The prevalence of dysphagia was 32.4% at 2 weeks after surgery, 20.6% at 6 weeks, 13.2% at 3 months, and 13.2% at 6 months. In total, 82.35% (56/68) of patients were satisfied with their surgical outcome and only 5.88% (4/68) were dissatisfied with their outcome. There was no relationship between a patient's overall satisfaction level and the presence of dysphagia at any postoperative interval. The absence of neck pain at 6 months was the only significant predictor of patient satisfaction (P=0.003).
CONCLUSION: Dysphagia is a common but often transient complaint following anterior cervical spine surgery. Fortunately, its presence does not seem to correlate with a patient's overall satisfaction level following surgery.
LEVEL OF EVIDENCE: Level I.
Volume
35
Issue
1
First Page
99
Last Page
99
ISSN
2380-0194
Published In/Presented At
Paziuk, T., Henry, T., Koons, K., Conaway, W., Mangan, J., Hilibrand, A., Vaccaro, A., & Rihn, J. (2022). Dysphagia and Satisfaction Following Anterior Cervical Spine Surgery: A Prospective Observation Trial. Clinical spine surgery, 35(1), E99–E103. https://doi.org/10.1097/BSD.0000000000001112Paziuk, T., Henry, T., Koons, K., Conaway, W., Mangan, J., Hilibrand, A., Vaccaro, A., & Rihn, J. (2022). Dysphagia and Satisfaction Following Anterior Cervical Spine Surgery: A Prospective Observation Trial. Clinical spine surgery, 35(1), E99–E103. https://doi.org/10.1097/BSD.0000000000001112
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
33264126
Department(s)
Administration and Leadership
Document Type
Article