The Role of Cricopharyngeal Myotomy After Anterior Cervical Decompression and Fusion Operations.
Publication/Presentation Date
5-1-2020
Abstract
BACKGROUND: Anterior cervical spine surgeries have low morbidity, sufficient surgical corridor, and quick recovery times. Although largely considered a safe and effective procedure to address cervical myelopathy, radiculopathy, and deformity, dysphagia is a frequent yet poorly understood adverse event. One treatment is cricopharyngeal myotomy (CPM), which aids in swallowing for patients with refractory issues after anterior cervical decompression and fusion (ACDF).
CASE DESCRIPTION: Here we describe our experience with 6 patients requiring revision ACDF with preoperative dysphagia who were treated with concurrent revision and CPM. Our series demonstrated that CPM is an effective and safe procedure used in combination with an ACDF. In our series, we had 6 patients with dysphagia preoperatively who were all able to undergo ACDF without worsening of their dysphagia despite having risk factors predisposing them to this complication. In our series, 83% of patients either improved or experienced resolution of their symptoms with only 1 patient failing to improve.
CONCLUSIONS: Given its efficacy and safety, patients planned for ACDF with preoperative dysphagia should be evaluated by ENT for potential CPM.
Volume
137
First Page
146
Last Page
148
ISSN
1878-8769
Published In/Presented At
Hines, K., Stricsek, G., Mahtabfar, A., Prasad, S., Jallo, J., Sharan, A., Heller, J., Boon, M., Huntley, C., Spiegel, J., & Harrop, J. (2020). The Role of Cricopharyngeal Myotomy After Anterior Cervical Decompression and Fusion Operations. World neurosurgery, 137, 146–148. https://doi.org/10.1016/j.wneu.2020.01.180
Disciplines
Medicine and Health Sciences
PubMedID
32036068
Department(s)
Department of Surgery
Document Type
Article