scholarly journals AB207. SOH21AS014. Risk factors for failure in the management of traumatic cervical fractures with single-stage anterior cervical discectomy and fusion (ACDF)

2021 ◽  
Vol 5 ◽  
pp. AB207-AB207
Author(s):  
Jake McDonnell ◽  
Tayler Ross ◽  
Daniel Ahern ◽  
Hannah Hughes ◽  
Lauren Leddy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Single Stage ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Cervical Fractures

Post-Operative Dysphagia in Anterior Cervical Discectomy and Fusion

2021 ◽  
pp. 000348942110155
Author(s):  
Leonard Haller ◽  
Khush Mehul Kharidia ◽  
Caitlin Bertelsen ◽  
Jeffrey Wang ◽  
Karla O’Dell
Keyword(s):  
Risk Factors ◽  
Medical Records ◽  
Assessment Tool ◽  
Demographic Data ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Long Term Follow Up

Objective: We sought to identify risk factors associated with long-term dysphagia, characterize changes in dysphagia over time, and evaluate the incidence of otolaryngology referrals for patients with long-term dysphagia following anterior cervical discectomy with fusion (ACDF). Methods: About 56 patients who underwent ACDF between May 2017 to February 2019 were included in the study. All patients were assessed for dysphagia using the Eating Assessment Tool (EAT-10) survey preoperatively and late postoperatively (≥1 year). Additionally, 28 patients were assessed for dysphagia early postoperatively (2 weeks—3 months). Demographic data, medical comorbidities, intraoperative details, and post-operative otolaryngology referral rates were collected from electronic medical records. Results: Of the 56 patients enrolled, 21 patients (38%) had EAT-10 scores of 3 or more at long-term follow-up. None of the demographics, comorbidities, or surgical factors assessed were associated with long-term dysphagia. Patients who reported no long-term dysphagia had a mean EAT-10 score of 6.9 early postoperatively, while patients with long-term symptoms had a mean score of 18.1 ( P = .006). Of the 21 patients who reported persistent dysphagia symptoms, 3 (14%) received dysphagia testing or otolaryngology referrals post-operatively. Conclusion: Dysphagia is a notable side effect of ACDF surgery, but there are no significant demographics, comorbidities, or surgical risk factors that predict long-term dysphagia. Early postoperative characterization of dysphagia using the EAT-10 questionnaire can help predict long-term symptoms. There is inadequate screening and otolaryngology follow-up for patients with post-ACDF dysphagia.

National Rates, Reasons, and Risk Factors for 30- and 90-Day Readmission and Reoperation Among Patients Undergoing Anterior Cervical Discectomy and Fusion

Spine ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Blake E. S. Taylor ◽  
Patrick Hilden ◽  
Rosemary T. Behmer Hansen ◽  
Anil Nanda ◽  
John L. Gillick
Keyword(s):  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

scholarly journals Risk factors of cage nonunion after anterior cervical discectomy and fusion

Medicine ◽  
2020 ◽  
Vol 99 (12) ◽  
pp. e19550 ◽  
Author(s):  
Bao Ren ◽  
Wenshan Gao ◽  
Jilong An ◽  
Menghui Wu ◽  
Yong Shen
Keyword(s):  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

P121. Utilizing double machine learning to discern risk factors for preoperative depression among anterior cervical discectomy and fusion (ACDF) patients

2021 ◽  
Vol 21 (9) ◽  
pp. S199-S200
Author(s):  
Conor Lynch ◽  
Elliot Cha ◽  
James Parrish ◽  
Nathaniel Jenkins ◽  
Caroline Jadczak ◽  
...  
Keyword(s):  
Machine Learning ◽  
Risk Factors ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy

Risk Factors for Cerebrospinal Fluid Leak Following Anterior Cervical Discectomy and Fusion

2019 ◽  
Vol 32 (2) ◽  
pp. E86-E90 ◽  
Author(s):  
Bhaveen H. Kapadia ◽  
Samuel I. Decker ◽  
Matthew R. Boylan ◽  
Neil V. Shah ◽  
Carl B. Paulino
Keyword(s):  
Risk Factors ◽  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Leak ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Fluid Leak

scholarly journals Radiological and Clinical Outcome after Multilevel Anterior Cervical Discectomy and/or Corpectomy and Fixation

2018 ◽  
Vol 7 (12) ◽  
pp. 469 ◽  
Author(s):  
Paul Oni ◽  
Rolf Schultheiß ◽  
Kai-Michael Scheufler ◽  
Jakob Roberg ◽  
Ali Harati
Keyword(s):  
Cervical Spine ◽  
Intraoperative Complications ◽  
Posterior Longitudinal Ligament ◽  
Anterior Cervical Discectomy ◽  
Posterior Fixation ◽  
Cervical Discectomy ◽  
Japanese Orthopedic Association ◽  
Cervical Spondylodiscitis ◽  
Cervical Fractures ◽  
Scale Scores

Background: Multilevel anterior cervical decompression and fixation of four and more levels is a common surgical procedure used for several diseases. Methods: We reviewed the radiological and clinical outcomes after anterior cervical discectomy or corpectomy and fixation of four and more levels in 85 patients (55 men and 30 women) with an average age of 59.6 years. Surgical indication was multilevel cervical degenerative myelopathy and radiculopathy in 72 (85%) patients, multilevel cervical spondylodiscitis in four (5%), complex traumatic cervical fractures in four (5%), metastatic cervical spine tumor in two (2%), and ossification of the posterior longitudinal ligament in three (3%) patients. Results: There were no severe intraoperative complications such as spinal cord or vertebral artery injury or dissection. Seventy-three patients had four, 10 patients had five, and two patients had six anterior cervical level fixations. The visual analog scale (VAS) and Japanese Orthopedic Association (mJOA) scale scores improved (6.9 to 1.3 (p < 0.001) and 13.9 to 16.5 (p < 0.001), respectively). The Cobb angle increased from 5.7° to 17.6° postoperatively (p < 0.001). Secondary posterior fixation was necessary in three cases due to pseudarthrosis. Conclusion: The anterior approach appears to be optimal for ventral compressive pathology and lordosis restoration to the cervical spine. Limitations of multiple level decompression and fixation included increasing pseudoarthrosis rates, especially after corpectomy, and increasing fused level numbers.

Cervical Total Disc Replacement and Anterior Cervical Discectomy and Fusion: Reoperation Rates, Complications, and Hospital Resource Utilization in 72 688 Patients in the United States

Neurosurgery ◽  
2017 ◽  
Vol 82 (4) ◽  
pp. 441-453 ◽  
Author(s):  
Kavelin Rumalla ◽  
Kyle A Smith ◽  
Paul M Arnold
Keyword(s):  
Risk Factors ◽  
Length Of Stay ◽  
Total Disc Replacement ◽  
Surgical Care ◽  
The United States ◽  
Anterior Cervical Discectomy ◽  
Disc Replacement ◽  
Cervical Discectomy ◽  
Discharge Disposition ◽  
Lower Complication

Abstract BACKGROUND Healthcare readmissions are important causes of increased cost and have profound clinical impact. Thirty-day readmissions in spine surgery have been well documented. However, rates, causes, and outcomes are not well understood outside 30 d. OBJECTIVE To analyze 30- and 90-d readmissions for a retrospective cohort of anterior cervical discectomy and fusions (ACDF) and total disc replacement (TDR) for degenerative cervical conditions. METHODS The Nationwide Readmissions Database approximates 50% of all US hospitalizations with patient identifiers to track patients longitudinally. Patients greater than 18 yr old were identified. Rates of readmission for 30 and 90 d were calculated. Predictor variables, complications, outcomes, and costs were analyzed via univariate and multivariable analyses. RESULTS Between January and September 2013, 72 688 patients were identified. The 30- and 90-d readmission rates were 2.67% and 5.97%, respectively. The most prevalent reason for 30-d readmission was complication of medical/surgical care (20.3%), whereas for 90-d readmission it was degenerative spine etiology (19.2%). Common risk factors for 30- and 90-d readmission included older age, male gender, Medicare/Medicaid, prolonged initial length of stay, and various comorbidities. Unique risk factors for 30- and 90-d readmissions included adverse discharge disposition and mechanical implant-related complications, respectively. When comparing ACDF and TDR, ACDFs were associated with increased 90-d readmissions (6.0% vs 4.3%). The TDR cohort had a shorter length of stay, lower complication rate, and fewer adverse discharge dispositions. CONCLUSION Identification of readmission causes and predictors is important to potentially allow for changes in periperative management. Decreasing readmissions would improve patient outcomes and reduce healthcare costs.

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