Loss Of Swallowing Reflex Lasting For 42 Days After Anterior Cervical Decompression And Fixation Done For Traumatic Cervical Spine Injury: A Case Report
Post-operative dysphagia is a common complication seen after anterior approach to cervical spine, which is usually mild and recovers well over a period of four weeks. We present a rare case of severe dysphagia with inability to swallow, lasting 6 weeks after anterior cervical decompression and fixation, in a case of post traumatic cervical spine injury, which was treated conservatively. The causes, types and management strategies are discussed with aim to familiarize the surgeon with the complication.
2. Buttermann GR. Prospective nonrandomized comparison of an allograft with bone morphogenic protein versus an iliac-crest autograft in anterior cervical discectomy and fusion. Spine J. 2008;8:426–35.
3. Campbell PG, Yadla S, Malone J, et al. Early complications related to approach in cervical spine surgery: single-center prospective study. World Neurosurg 2010;74:363–8.
4. Skeppholm M, Ingebro C, Engström T, Olerud C. The Dysphagia Short Questionnaire: an instrument for evaluation of dysphagia: a validation study with 12 months’ follow-up after anterior cervical spine surgery. Spine (Phila Pa 1976). 2012;37:996–1002.
5. Kalb S, Reis MT, Cowperthwaite MC, et al. Dysphagia after anterior cervical spine surgery: incidence and risk factors. World Neurosurg 2012;77:183–7.
6. Tervonen H, Niemela M, Lauri ER, Back L, Juvas A, Rasanen P. Dysphonia and dysphagia after anterior cervical decompression. J Neurosurg Spine. 2007;7:124-30.
7. Jason PC, Keith DL, Complications of Anterior and Posterior Cervical Spine Surgery. Asian Spine J 2016;10(2):385-400.
8. Bazaz R, Lee MJ, Yoo JU, Incidence of dysphagia after anterior cervical spine surgery: a prospective study. Spine. 2002; 27:2453-8.
9. Anderson KK, Arnold PM. Oropharyngeal Dysphagia after Anterior Cervical Spine Surgery: A Review. Global Spine J 2013;3:273–86.
10. Schindler JS, Kelly JH. Swallowing disorders in the elderly. Laryngoscope. 2002. 112(4): 589-602.
11. Campbell PG, Yadla S, Malone J, et al. Early complications related to approach in cervical spine surgery: single-center prospective study. World Neurosurg 2010;74:363–8.
12. Skeppholm M, Ingebro C, Engström T, Olerud C. The Dysphagia Short Questionnaire: an instrument for evaluation of dysphagia: a validation study with 12 months’ follow-up after anterior cervical spine surgery. Spine (Phila Pa 1976). 2012;37:996–1002.
13. Daniels AH, Riew KD, Yoo JU, et al. Adverse events associated with anterior cervical spine surgery. J Am Acad Orthop Surg 2008;16: 729–38.
14. Patel NP, Wolcott WP, Johnson JP, et al. Esophageal injury associated with anterior cervical spine surgery. Surg Neurol 2008;69:20–4.
15. Kasimatis GB, Panagiotopoulos E, Gliatis J, Tyllianakis M, Zouboulis P, Lambiris E. Complications of anterior surgery in cervical spine trauma: an overview. Clin Neurol Neurosurg 2009;111:18–27.
16. Danto J, DiCapua J, Nardi D, et al. Multiple cervical levels: increased risk of dysphagia and dysphonia during anterior cervical discectomy. J Neurosurg Anesthesiol 2012;24:350–5.
17. Nanda A, Rudrappa S, Vannemreddy P. Iatrogenic complications of spine surgery. In: Evans RW, ed. Neurology and Trauma. New York, NY: Oxford University Press; 2006:760–1.
18. Lee SH, Kim KT, Suk KS, Park KJ, Oh KI. Effect of retropharyngeal steroid on prevertebral soft tissue swelling following anterior cervical discectomy and fusion: a prospective, randomized study. Spine 2011;36:2286–92.
19. Lembo AJ. Diagnosis and treatment of oropharyngeal dysphagia. In: Basow DS, ed. Up To Date. Waltham, MA: Up To Date; 2013
20. Cook IJ. Diagnostic evaluation of dysphagia. Nat Clin Pract Gastroenterol Hepatol 2008;5:393–403.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.