지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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The known causes of dysphagia following cervical spine surgery include pre-vertebral soft tissue swelling, decreased posterior pharyngeal movement, and impaired upper esophageal sphincter opening. Some studies have suggested that dysphagia is associated with movement of the cervical vertebrae during swallowing. In the present case, a 59-year-old man with a limited cervical range of motion due to ankylosing spondylitis slipped and fell, resulting in a C7 vertebral body fracture. He underwent anterior cervical discectomy as well as C5-T1 anterior fusion and C5-T2 level postero-lateral fusion. After surgery, he showed signs and symptoms of aspiration. A video-fluoroscopic swallowing study (VFSS) revealed incomplete laryngeal elevation, cricopharyngeal dysfunction, and vallecular remnant. Aspiration was observed in the semisolid-swallowing test. The patient’s dysphagia could be attributed to two main causes. First, the esophagus might have been compressed by thickened pre-vertebral soft tissue after surgery. Second, the cervical range of motion, which was already limited by ankylosing spondylitis, might have been limited further by the anterior fusion of the cervical spine. In conclusion, a preoperative evaluation, including VFSS, should be considered before cervical spinal surgery, particularly in patients with ankylosing spondylitis presenting with a limited cervical range of motion.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Cho SK / 2013 / Dysphagia following anterior cervical spinal surgery: a systematic review / Bone Joint J 95-b(7):868~873
Fountas KN / 2007 / Anterior cervical discectomy and fusion associated complications / Spine (Phila Pa 1976) 32:2310~2317
Radcliff KE / 2013 / What is the incidence of dysphagia after posterior cervical surgery? / Spine (Phila Pa 1976) 38:1082~1088
Martin RE / 1997 / Dysphagia following anterior cervical spine surgery / Dysphagia 12:2~8
Mekata K / 2013 / Cervical spine motion during swallowing / Eur Spine J 22:2558~2563
Fountas KN / 2007 / Anterior cervical discectomy and fusion associated complications / Spine (Phila Pa 1976) 32:2310~2317
Radcliff KE / 2013 / What is the incidence of dysphagia after posterior cervical surgery? / Spine (Phila Pa 1976) 38:1082~1088
Martin RE / 1997 / Dysphagia following anterior cervical spine surgery / Dysphagia 12:2~8
Mekata K / 2013 / Cervical spine motion during swallowing / Eur Spine J 22:2558~2563
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