Evidence map›Paper›PMID 39926627›Full record

ReviewCureus2025

Incidence, Risk Factors, and Outcomes of Recurrent Laryngeal Nerve Injury and Dysphonia Following Anterior Cervical Spine Surgery: A Systematic Review and Meta-Analysis.

Adam A Abu-Gameh, Jonathan E J Koch, David Schleifer, Yuval Baruch, Itzhak Engel, Eyal Yaacobi, Nissim Ohana

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. The inter-sternohyoid median (ISM) approach: a novel median anterior corridor to the cervical spine - anatomical study and preliminary clinical application.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 · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Adam A Abu-GamehDepartment of Orthopedics, Soroka Medical Center, Be'er-Sheva, ISR.
Jonathan E J KochDepartment of Orthopedic Surgery, Meir Medical Center, Kfar Saba, ISR.
David SchleiferDepartment of Orthopedic Surgery, Meir Medical Center, Kfar Saba, ISR.
Yuval BaruchDepartment of Orthopedic Surgery, Meir Medical Center, Kfar Saba, ISR.
Itzhak EngelDepartment of Orthopedic Surgery, Meir Medical Center, Kfar Saba, ISR.
Eyal YaacobiDepartment of Orthopedic Surgery, Meir Medical Center, Kfar Saba, ISR.
Nissim OhanaDepartment of Orthopedic Surgery, Meir Medical Center, Kfar Saba, ISR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior cervical spine surgery (ACSS) is an effective treatment for various cervical spine conditions but carries a risk of recurrent laryngeal nerve (RLN) injury and dysphonia. This systematic review and meta-analysis aimed to evaluate the incidence of these complications and their associated risk factors. An analysis of 17 studies involving 5,706 patients revealed a pooled RLN injury incidence of 3.41% and a dysphonia incidence of 2.5%. Prolonged surgeries exceeding two hours and multilevel procedures were associated with higher risks, while implant material demonstrated minimal impact. These findings highlight the importance of surgical planning to mitigate RLN injury risk and improve patient outcomes in ACSS.

Indexed as

anterior cervical spine surgerydysphoniaimplant materialsrecurrent laryngeal nerve injurysurgical risk factors

Identifiers

PMID39926627
PMCPMC11807342

What OpenQuestion holds

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Registered trials

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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.