Parkinson Disease, Dysphagia, and Cervical Spine Surgery

医学 颈椎前路椎间盘切除融合术 吞咽困难 脊髓病 外科 优势比 吞咽 相伴的 脊柱融合术 颈椎 脊髓 内科学 精神科
作者
Mauricio J. Ávila,Pedro Aguilar‐Salinas,Aaron R. Burket,Travis M. Dumont
出处
期刊:Clinical spine surgery [Lippincott Williams & Wilkins]
卷期号:35 (1): E26-E30 被引量:4
标识
DOI:10.1097/bsd.0000000000001197
摘要

An analysis of a National Database.The objective of this study was to evaluate the rate of dysphagia for Parkinson disease (PD) patients undergoing cervical spine surgery for cervical myelopathy.Cervical spondylotic myelopathy (CSM) is an increasingly common problem in the aging population. Several surgical options exist to treat this condition including anterior, posterior and combined surgical approaches. Each approach carries its own set of postoperative complications. Little is known of the of outcomes after cervical spine surgery in PD.The National Inpatient sample was queried 1998 to 2016, all elective admissions with CSM were identified. Surgical treatments were identified as either: anterior cervical discectomy and fusion (ACDF), posterior laminectomies, posterior cervical fusion or combined anterior/posterior surgery. Preexisting PD was identified. Endpoints included mortality, length of stay (LOS), swallowing dysfunction measured by placement of feeding tube (NGT), and postprocedure pneumonia.A total of 73,088 patients underwent surgical procedures for CSM during the study period. Of those, 552 patients (7.5%) had concomitant PD. The most common procedure was ACDF. Patients with PD had a higher rate of dysphagia (NGT placement) after surgery compared with those without PD (P<0.001). Multiple regression analysis showed that PD patients had a higher risk of having NGT placement or developing pneumonia [odds ratio 2.98 (1.7-5.2), P<0.001] after surgery.Patients with PD who underwent ACDF, posterior laminectomies or posterior cervical fusion had a longer LOS compared with those who did not have PD (P<0.001). There was no difference in LOS for patients who underwent combined anterior/posterior surgery. Inpatient mortality was higher in patients with PD who underwent ACDF or combined surgery (P<0.001).While ACDF is the most commonly performed procedure for CSM in patients with PD, it is associated with longer LOS, higher incidence of postoperative dysphagia, and postprocedural pneumonia, as well as higher inpatient mortality compared with posterior cervical procedures.Level III.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
乐乐应助huyz采纳,获得10
刚刚
1秒前
2秒前
3秒前
量子星尘发布了新的文献求助10
4秒前
4秒前
Kayla发布了新的文献求助10
4秒前
4秒前
张雯思发布了新的文献求助10
6秒前
HuSP完成签到,获得积分10
6秒前
6秒前
7秒前
zzcres完成签到,获得积分10
7秒前
anna发布了新的文献求助10
9秒前
勤奋梨愁发布了新的文献求助10
10秒前
10秒前
潘善若发布了新的文献求助10
10秒前
momo发布了新的文献求助10
11秒前
11秒前
15秒前
17秒前
诺奇完成签到,获得积分10
19秒前
潘善若发布了新的文献求助10
21秒前
乖猫要努力应助猪猪hero采纳,获得10
21秒前
24秒前
24秒前
科目三应助不学无术采纳,获得10
24秒前
MrSong完成签到,获得积分10
28秒前
28秒前
momo发布了新的文献求助10
28秒前
小曾应助安静的万声采纳,获得10
29秒前
高贵的飞阳完成签到,获得积分10
29秒前
小梦发布了新的文献求助10
30秒前
30秒前
31秒前
科研通AI5应助GooJohn采纳,获得10
32秒前
Ava应助yyy采纳,获得10
36秒前
善学以致用应助yyy采纳,获得10
36秒前
共享精神应助yyy采纳,获得10
36秒前
李健的小迷弟应助yyy采纳,获得10
36秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989263
求助须知:如何正确求助?哪些是违规求助? 3531418
关于积分的说明 11253814
捐赠科研通 3270066
什么是DOI,文献DOI怎么找? 1804884
邀请新用户注册赠送积分活动 882084
科研通“疑难数据库(出版商)”最低求助积分说明 809136