ArticleGlobal spine journal2022
Respiratory Compromise After Anterior Cervical Spine Surgery: Incidence, Subsequent Complications, and Independent Predictors.
Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 21 citations in OpenAlex.
- Well-controlled asthma does not adversely affect outcomes following anterior cervical discectomy and 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 · 2026Article
- Article
- Outcomes of microscopy‑assisted anterior cervical discectomy and fusion in a selected cohort with soft giant cervical disc herniation‑induced cervical spondylotic myelopathy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025Article
- Complications of anterior and posterior surgery for degenerative cervical myelopathy.Journal of clinical orthopaedics and trauma · 2025Article
- Measures to prevent acute airway obstruction after anterior cervical spine surgery: a retrospective cohort study from Japan and a review of the literature.Asian spine journal · 2025Article
- Early Cases of Single-Level Cervical Total Disc Replacement in Japan-Short-Term Safety Assessment Using Registry Data.Spine surgery and related research · 2025Article
- Airway Compromise in Adults Following Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis.Laryngoscope investigative otolaryngology · 2025Review
- Inpatient outcomes of upper cervical fractures in the elderly: a retrospective analysis of 268 cases.BMC geriatrics · 2025Article
- Postoperative complications of anterior cervical discectomy and fusion: A comprehensive systematic review and meta-analysis.North American Spine Society journal · 2025Review
- Impact of Enhanced Recovery After Surgery with Neuromuscular Monitoring and Sugammadex on Healthcare Costs and Effectiveness of Recovery in Patients Following Anterior Cervical Spine Discectomy.Journal of personalized medicine · 2025Article
- Factors associated with unplanned intensive care unit readmission among trauma patients in Republic of Korea.Acute and critical care · 2024Article
- Risk Factors for Cervical Hematoma After Thyroid Surgery at a Portuguese Hospital: A Retrospective Study.Cureus · 2024Article
- Postoperative Airway Management after Anterior Cervical Spine Surgery: Retrospective Neurosurgical Multicenter Study.Neurologia medico-chirurgica · 2024Observational
- Airway Complications After Anterior Cervical Spine Surgery: Etiology and Risk Factors.Global spine journal · 2023Article
- Impact of delay extubation on the reintubation rate in patients after cervical spine surgery: a retrospective cohort study.Journal of orthopaedic surgery and research · 2023Review
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
Abstract
STUDY
designRetrospective cohort study.
objectiveRespiratory compromise (RC) is a rare but catastrophic complication of anterior cervical spine surgery (ACSS) commonly due to compressive fluid collections or generalized soft tissue swelling in the cervical spine. Established risk factors include operative duration, size of surgical exposure, myelopathy, among others. The purpose of this current study is to identify the incidence and clinical course of patients who develop RC, and identify independent predictors of RC in patients undergoing ACSS for cervical spondylosis.
methodsA large, prospectively-collected registry was used to identify patients undergoing ACSS for spondylosis. Patients with posterior cervical procedures were excluded. Baseline patient characteristics were compared using bivariate analysis, and multivariate analysis was employed to compare postoperative complications and identify independent predictors of RC.
results298 of 52,270 patients developed RC (incidence 0.57%). Patients who developed RC had high rates of 30-day mortality (11.7%) and morbidity (75.8%), with unplanned reoperation and pneumonia the most common. The most common reason for reoperations were hematoma evacuation and tracheostomy. Independent patient-specific factors predictive of RC included increasing patient age, male gender, comorbidities such as chronic cardiac and respiratory disease, preoperative myelopathy, prolonged operative duration, and 2-level ACCFs.
conclusionThis is among the largest cohorts of patients to develop RC after ACSS identified to-date and validates a range of independent predictors, many previously only described in case reports. These results are useful for taking preventive measures, identifying high risk patients for preoperative risk stratification, and for surgical co-management discussions with the anesthesiology team.
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