Effect of Swallowing Function After ROI-C Anterior Cervical Interbody Fusion
Journal of Surgery
Volume 4, Issue 6, December 2016, Pages: 141-145
Received: Dec. 22, 2016; Accepted: Jan. 3, 2017; Published: Jan. 21, 2017
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Authors
Guowei Zhang, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Zhaohui Chen, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Qiuling Liu, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Zhisheng Ji, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Chunhai Lan, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
Hongsheng Lin, Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou, China
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Abstract
The difference of swallowing function between a new zero-notch anterior cervical interbody fusion device (ROI-C) and classical method with the plate using in anterior cervical decompression and fusion (ACDF) were discussed and analyzed. 57 cases in the First Affiliated Hospital of Jinan University from Feb 2013 to Mar 2016 who underwent ACDF were retrospectively reviewed. There were 33 cases in group using with ROI-C and 24 cases in group using with plate. The difference of dysphagia incidence and severity were analyzed by comparing with the image data before and after operation. The dysphagia correlative risk factors analyzed by logistic regression test were internal fixation material and thickness of 3-days post-operative prevertebral soft tissue (PST). When the PST (3-days post-operative) was larger than 10.44mm, the chance of developing postoperative was significantly greater. The thickness of 3-days post-operative PST in ROI-C group was significantly lower than that in plate group (P <0.05). The thickness of 3-days post-operative PST swelling width ROI-C group was significantly lower than that in plate group (P <0.05). The index of 3-days post-operative PST was lower but no significant in ROI-C group than that of group Plate (P >0.05). 3-days post-operation, the dysphagia incidence and severity were significantly lower in ROI-C group than that in plate group (P <0.05). The dysphagia correlative risk factors are internal fixation material and thickness of 3-days post-operative PST. When the 3-days post-operative PST larger than 10.44 mm, the chance of developing postoperative is significantly greater. Zero-notch ROI-C anterior cervical interbody fusion device is associated with less stimulations to esophagus, lower postoperative dysphagia incidence, milder severity of dysphagia and shorter period of dysphagia in ACDF.
Keywords
Anterior Cervical Decompression and Fusion, Thickness of Prevertebral Soft Tissue, Dysphagia
To cite this article
Guowei Zhang, Zhaohui Chen, Qiuling Liu, Zhisheng Ji, Chunhai Lan, Hongsheng Lin, Effect of Swallowing Function After ROI-C Anterior Cervical Interbody Fusion, Journal of Surgery. Vol. 4, No. 6, 2016, pp. 141-145. doi: 10.11648/j.js.20160406.14
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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