ArticleOrthopaedic surgery2025
Impact of Prevertebral Fascia Suture and Relevant Risk Factors on Postoperative Dysphagia Following Anterior Cervical Discectomy and Fusion.
Article in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectivesThe prevertebral fascia (PVF), which constitutes part of the deep layer of the deep cervical fascia, is routinely incised during anterior cervical discectomy and fusion (ACDF) surgery. Suturing the PVF could serve as an optimal barrier between the surface of the fusion device and the posterior esophagus and may alleviate postoperative dysphagia. Thus, this retrospective study was aimed to (1) evaluate the impact of prevertebral fascia (PVF) suturing and (2) perform a multivariate analysis of relevant risk factors for postoperative dysphagia following anterior cervical discectomy and fusion (ACDF).
methodsA total of 197 patients who underwent ACDF and had at least 1 year of follow-up between June 2020 and February 2024 were retrospectively reviewed. To compare baseline data and incidence of dysphagia, the patients were divided into two groups on the basis of whether they had undergone PVF suturing during the operation (suture group, N = 83; nonsuture group, N = 114). The incidence and severity of dysphagia were evaluated using the Bazaz grading system. The patients were further categorized into a dysphagia group (N = 56) and a nondysphagia group (N = 141) to conduct a multivariate analysis of dysphagia.
resultsCompared with the nonsuture group, the suture group presented a significantly lower incidence and severity of dysphagia at 1 week, 1 month, and 3 months postoperatively (p < 0.05). A binary logistic regression analysis revealed that advanced age (odds ratio [OR], 1.034; 95% confidence interval [95% CI, 1.006-1.063]), greater ΔC
conclusionSuturing of the PVF during ACDF can significantly decrease the incidence and severity of transient postoperative dysphagia in patients. The incidence of postoperative dysphagia is also significantly associated with advanced age, greater ΔC
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.