ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2005
Persistent swallowing and voice problems after anterior cervical discectomy and fusion with allograft and plating: a 5- to 11-year follow-up study.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03311425 (The Effects of Intraoperative Local and Systemic Corticosteroid Administration on Postoperative Dysphagia After Anterior Cervical Fusion), which is not on this map. Cited by 75 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effects of Intraoperative Local and Systemic Corticosteroid Administration on Postoperative Dysphagia After Anterior Cervical Fusion
Who cites it
75 citing papers in PubMed, 6 syntheses or guidelines pooled it, 198 citations in OpenAlex.
- Pooled it
- The new Zero-P implant can effectively reduce the risk of postoperative dysphagia and complications compared with the traditional anterior cage and plate: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2016Pooled it
- Pooled it
- Zero-profile implant versus conventional cage-plate implant in anterior cervical discectomy and fusion for the treatment of degenerative cervical spondylosis: a meta-analysis.Journal of orthopaedic surgery and research · 2015Pooled it
- Anterior cervical discectomy versus corpectomy for multilevel cervical spondylotic myelopathy: a meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2015Pooled it
- Anterior Cervical Discectomy and Fusion Using Zero-P System for Treatment of Cervical Spondylosis: A Meta-Analysis.Pain research & managementPooled it
- Anterior cervical interbody fusion with the Zero-P spacer: mid-term results of two-level fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2015Trial
- Superiority of the Bryan(®) disc prosthesis for cervical myelopathy: a randomized study with 3-year followup.Clinical orthopaedics and related research · 2011Trial
- Plasma radio-frequency-based diskectomy for treatment of cervical herniated nucleus pulposus: feasibility, safety, and preliminary clinical results.AJNR. American journal of neuroradiologyTrial
- National Trends and Risk Factors for Dysphagia After Anterior Cervical Discectomy and Fusion.The Laryngoscope · 2026Article
- Partial hyoid bone resection to reduce superior laryngeal nerve traction injury in upper cervical ACDF: technical description and retrospective case series of C3-4.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Development and Biomechanical Study of the Novel PRUNUS Plate-Screw System.Orthopaedic surgery · 2026Article
- Dysphagia Following Anterior Cervical Discectomy and Fusion: A PearlDiver Analysis of Incidence, Risk Factors, and Interventions.Dysphagia · 2026Article
- Impact of Prevertebral Fascia Suture and Relevant Risk Factors on Postoperative Dysphagia Following Anterior Cervical Discectomy and Fusion.Orthopaedic surgery · 2025Article
- Comparative Outcomes of 1-Level vs. 2-Level Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- An unexpected cause of intractable dysphagia after 20 years following cervical spine instrumentation using bone cement alone: a case report.Annals of medicine and surgery (2012) · 2024Article
- Article
- Recurrent Zenker's Traction Diverticulum After Cervical Spine Surgery: Lessons Learned.Cureus · 2024Article
- Biomechanical analysis of the door-shaped titanium plate in single-level anterior cervical discectomy and fusion.Journal of orthopaedic surgery and research · 2023Article
- Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
3 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anterior cervical discectomy and fusion is commonly performed for cervical disc disease. Most studies report that swallowing and voice problems after such surgeries tend to resolve with time and are often of minor significance except in the rare cases of recurrent laryngeal nerve palsies. A retrospective review was performed on patients who had anterior cervical discectomy and fusion by a single surgeon more than 5 years prior, to determine the persistence of swallowing and voice problems in them. Seventy-four patients who had anterior cervical discectomy and fusion with allograft and plating an average of 7.2 years prior responded to an invitation to return for a follow-up clinical review. Emphasis was placed on the symptoms of dysphagia and dysphonia, as related to the index surgery. At final review, persistent dysphagia was present in 26 patients (35.1%). This occurred more frequently in females and in younger patients. Dysphonia at final review persisted in 14 patients (18.9%). This also occurred more commonly in females and in patients in whom possible non-union is present in at least one of the levels operated upon. Problems with singing were present in 16 patients (21.6%) postoperatively, occurring more frequently if the C3/4 disc was included in the surgery and in patients who have had a greater total number of anterior cervical surgeries at the time of review. Dysphonia and dysphagia are persistent problems in a significant proportion of patients, even beyond 5 years after anterior cervical spine surgery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.