Wasey Waiz, Saleh Sharefi, Manahil Naila, Mohammed Asiya, Wasey Neha
Family and Community Medicine, Southern Illinois University (SIU) School of Medicine, Springfield, USA.
Family Medicine, Ruth Temple Clinic, Los Angeles, USA.
Cureus. 2022 Feb 13;14(2):e22185. doi: 10.7759/cureus.22185. eCollection 2022 Feb.
Obstructive Sleep Apnea (OSA), a common variant of sleep-disordered breathing, is characterized by repeated complete or partial collapse of upper airways during sleep, leading to oxyhemoglobin desaturations. The obstruction may be iatrogenically induced in patients undergoing Anterior Cervical Discectomy and Fusion (ACDF). Damage to the pharyngeal plexus during the procedure may predispose to a new collapse of the upper airway, and the placement of the hardware for the fusion may lead to further narrowing of the upper airway. Literature does not exist associating this possible etiology prospectively. The association of ACDF and OSA has only been retrospectively documented by Guiilleminault and associates. We are reporting a case of a 49-year-old female who was evaluated pre and post surgery and established the evidence of worsening OSA in a patient who underwent ACDF.
阻塞性睡眠呼吸暂停（OSA）是睡眠呼吸障碍的一种常见类型，其特征是睡眠期间上呼吸道反复出现完全或部分塌陷，导致氧合血红蛋白饱和度下降。在接受颈椎前路椎间盘切除融合术（ACDF）的患者中，这种阻塞可能是医源性诱发的。手术过程中对咽丛的损伤可能会使上呼吸道出现新的塌陷，而融合用硬件的放置可能会导致上呼吸道进一步变窄。目前尚无前瞻性研究将这种可能的病因联系起来。Guiilleminault及其同事仅通过回顾性研究记录了ACDF与OSA之间的关联。我们报告了一例49岁女性患者，该患者在手术前后均接受了评估，并证实了一名接受ACDF手术的患者存在OSA病情恶化的证据。
