1Department of Neurosurgery, Indiana University, Indianapolis, Indiana.
2Goodman Campbell Brain and Spine, Carmel, Indiana.
J Neurosurg Spine. 2022 Dec 16;38(3):382-388. doi: 10.3171/2022.11.SPINE221247. Print 2023 Mar 1.
Dysphagia is a regular occurrence after cervical spine surgery, and the development of dysphagia postoperatively is associated with worsened quality of life for patients. Despite the frequency and negative implications of this adverse outcome, there is no clear consensus for defining dysphagia within the spinal literature. Numerous patient-reported outcomes questionnaires are currently used to elucidate the presence and severity of postoperative dysphagia, several of which are not validated instruments. This variability in reporting creates difficulty when trying to determine the prevalence of dysphagia and any potential mitigating factors. In the current review, the authors discuss the causes of postoperative dysphagia after cervical spine surgery, metrics for evaluating postoperative dysphagia, risk factors for the development of this adverse outcome, and strategies for preventing its development. Readers will be able to use this information to improve patient outcomes after cervical spine surgery.
吞咽困难是颈椎手术后的常见并发症，术后吞咽困难的发生与患者生活质量的恶化有关。尽管这种不良后果的发生频率和负面影响很大，但在脊柱文献中，对于吞咽困难的定义尚无明确共识。目前有许多患者报告的结局问卷被用于阐明术后吞咽困难的存在和严重程度，其中一些不是经过验证的工具。这种报告的变异性使得在确定吞咽困难的患病率和任何潜在的缓解因素时存在困难。在本次综述中，作者讨论了颈椎手术后术后吞咽困难的原因、评估术后吞咽困难的指标、发生这种不良后果的危险因素以及预防其发生的策略。读者将能够利用这些信息来改善颈椎手术后患者的结局。
