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术前颈椎对线在枕颈融合术后吞咽困难中的作用。

Role of preoperative cervical alignment on postoperative dysphagia after occipitocervical fusion.

作者信息

Miyagi Midori, Takahashi Hiroshi, Sekiya Hideki, Ebihara Satoru

机构信息

Department of Rehabilitation Medicine, Toho University Graduate School of Medicine, Ota-ku, Tokyo, Japan.

Department of Orthopaedic Surgery, Toho University Graduate School of Medicine, Ota-ku, Tokyo, Japan.

出版信息

Surg Neurol Int. 2021 Jul 12;12:350. doi: 10.25259/SNI_547_2021. eCollection 2021.

DOI:10.25259/SNI_547_2021
PMID:34345490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8326147/
Abstract

BACKGROUND

Dysphagia is one of the most serious complications of occipitocervical fusion (OCF). The previous studies have shown that postoperative cervical alignment, documented with occipito (O)-C2 angles, C2-C6 angles, and pharyngeal inlet angles (PIA), impacted the incidence of postoperative dysphagia in patients undergoing OCF. Here, we investigated the relationship of preoperative versus postoperative cervical alignment on the incidence of postoperative dysphagia after OCF.

METHODS

We retrospectively reviewed the clinical data/medical charts for 22 patients following OCF (2006- 2019). The O-C2 angles, C2-C6 angles, PIA, and narrowest pharyngeal airway spaces (nPAS) were assessed using plain lateral radiographs of the cervical spine before and after the surgery. The severity of dysphagia was assessed with the functional oral intake scale (FOIS) levels as documented in medical charts; based on this, patients were classified into the nondysphagia (FOIS: 7) versus dysphagia (FOIS: 1-6) groups.

RESULTS

Seven patients (35%) experienced dysphagia after OCF surgery. Preoperative PIA and nPAS were smaller in the dysphagia group. Spearman rank correlation showed a positive correlation between preoperative PIA and FOIS and between preoperative nPAS and FOIS.

CONCLUSION

This study suggests that preoperative cervical alignment may best predict the incidence of postoperative dysphagia after OCF.

摘要

背景

吞咽困难是枕颈融合术（OCF）最严重的并发症之一。既往研究表明，采用枕骨（O）-C2角、C2-C6角和咽入口角（PIA）记录的术后颈椎对线情况会影响接受OCF手术患者术后吞咽困难的发生率。在此，我们研究了术前与术后颈椎对线情况与OCF术后吞咽困难发生率之间的关系。

方法

我们回顾性分析了22例接受OCF手术患者（2006年至2019年）的临床资料/病历。使用颈椎正侧位X线片评估手术前后的O-C2角、C2-C6角、PIA和最窄咽气道间隙（nPAS）。根据病历中记录的功能性经口进食量表（FOIS）水平评估吞咽困难的严重程度；据此，将患者分为无吞咽困难组（FOIS：7）和吞咽困难组（FOIS：1-6）。

结果

7例患者（35%）在OCF手术后出现吞咽困难。吞咽困难组术前的PIA和nPAS较小。Spearman等级相关性分析显示术前PIA与FOIS之间以及术前nPAS与FOIS之间呈正相关。

结论

本研究表明，术前颈椎对线情况可能最能预测OCF术后吞咽困难的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da1/8326147/6c667dca6050/SNI-12-350-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da1/8326147/d6114127ef1b/SNI-12-350-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da1/8326147/37865b382183/SNI-12-350-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da1/8326147/6c667dca6050/SNI-12-350-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da1/8326147/d6114127ef1b/SNI-12-350-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da1/8326147/37865b382183/SNI-12-350-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1da1/8326147/6c667dca6050/SNI-12-350-g003.jpg

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2
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BMC Musculoskelet Disord. 2020 Feb 28;21(1):131. doi: 10.1186/s12891-020-3155-2.
3
Influence of Postoperative O-C2 Angle on the Development of Dysphagia After Occipitocervical Fusion Surgery: Results from a Retrospective Analysis and Prospective Validation.
Effects of Head and Neck Alignment and Pharyngeal Anatomy on Epiglottic Inversion During Swallowing in Dysphagic Patients.
头颈部姿势和咽腔解剖结构对吞咽困难患者吞咽时会厌翻转的影响。
Dysphagia. 2023 Dec;38(6):1519-1527. doi: 10.1007/s00455-023-10579-w. Epub 2023 May 6.
4
Radiographic measurements for the prediction of dysphagia after occipitocervical fusion: a systematic review.用于预测寰枕融合术后吞咽困难的影像学测量：系统评价。
Acta Neurochir (Wien). 2023 May;165(5):1161-1170. doi: 10.1007/s00701-023-05509-6. Epub 2023 Feb 14.
枕颈融合术后O-C2角对吞咽困难发生发展的影响：一项回顾性分析与前瞻性验证的结果
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