Anterior Cervical Spine Surgery
Conditions
Keywords
anterior cervical spine surgery, dysphagia, Smith-Robinson, strap-splitting
Brief summary
Anterior cervical spine surgery (ACSS) is a procedure for the treatment of several neck problems. Even though the procedure is overall safe and effective, there are possible complications after surgery, which include problems swallowing, hoarseness of the voice, and pain when swallowing. There are two different ways the spinal surgeon can approach the spine from the front of the neck. One is called a Smith-Robinson approach, and the other is called a strap-splitting approach. Each approach uses the same skin cut, the difference is only in how the next layer is approached, whether on the outside (Smith-Robinson) or through (strap-splitting) one of the small muscles in your neck. Because of the slightly different approaches to the surgery, we want to see if there are differences in complications related to swallowing and speaking between these two approaches. Participants will undergo one of the two surgical approaches, based on surgeon preference. Participants will complete a questionnaire at several time points during their clinical follow-up to assess any difficulties swallowing and speaking.
Interventions
None listed
Sponsors
Hamilton Health Sciences Corporation
McMaster University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients (18 years of age or older). * Patients undergoing anterior cervical spine surgery including Anterior cervical discectomy and fusion (ACDF), Anterior cervical arthroplasty (ACA) and Anterior cervical corpectomy and fusion (ACCF) * Ability to complete HSS-DDI questionnaire in English
Exclusion criteria
* Planned use of anterior odontoid screws * Revision anterior surgery * Trauma patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dysphagia as per the HSS-DDI | 6 weeks post-operative | Hospital for Special Surgery Dysphagia and Dysphonia Inventory, scored from 0 to 100, with higher scores indicating better function (less severity, fewer symptoms) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dysphagia as measured by the HSS-DDI | post-operative day 1, 6 months, and 12 months | Hospital for Special Surgery Dysphagia and Dysphonia Inventory, scored from 0 to 100, with higher scores indicating better function (less severity, fewer symptoms) |
| Changes in voice as measured by the HSS-DDI | Post-operative day 1, 6 weeks, 6 months, and 12 months | Hospital for Special Surgery Dysphagia and Dysphonia Inventory, scored from 0 to 100, with higher scores indicating better function (less severity, fewer symptoms) |
| Length of intraoperative time in minutes, adjusting for surgeon, surgical type, and number of levels | Time of surgery | — |
| Injury to vital neurovascular structures | Time of surgery | — |
| Blood loss during surgery measured in mL | Time of surgery | — |
Countries
Canada
Contacts
CONTACTStudy Coordinator
Outcome results
None listed