Effect of Steroid-Soaked Gelatin Sponge on Soft Tissue Swelling Following Anterior Cervical Discectomy and Fusion: A Radiographic Analysis

Joshua Schroeder; Joseph Weinstein; Stephan Nikolaus Salzmann; Janina Kueper; Jennifer Shue; Andrew Anthony Sama; Federico Pablo Girardi

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자료유형: 학술저널

저자정보: Joshua Schroeder (Hospital for Special Surgery) Joseph Weinstein (Hospital for Special Surgery) Stephan Nikolaus Salzmann (Hospital for Special Surgery) Janina Kueper (Hospital for Special Surgery) Jennifer Shue (Hospital for Special Surgery) Andrew Anthony Sama (Hospital for Special Surgery) Federico Pablo Girardi (Hospital for Special Surgery)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.12 No.4

발행연도: 2018.1

수록면: 656 - 661 (6page)

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연구방법

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Study Design: Retrospective radiological review and analysis of 79 patients who underwent primary anterior cervical discectomy and fusion (ACDF) of 2 or 3 levels between 2011 and 2013. Purpose: This study aimed to determine the effect of the local placement of a steroid-soaked gelatin sponge after ACDF on prevertebral soft tissue swelling. Overview of Literature: Although ACDF has become a popular choice for cervical fusion, the surgical involvement of the delicate anatomy of the neck frequently results in tissue irritation and edema. Swelling of the prevertebral soft tissue may consequently lead to mild-to-severe complications, ranging from dysphonia to dyspnea. Methods: Out of the 79 patients who underwent primary ACDF, 52 received a gelatin sponge soaked with 40 mg of Depo-Medrol placed adjacent to the operated cervical levels. Prevertebral soft tissue swelling was detected using postoperative lateral X-ray. The radiographic values were compared to those of 27 patients who did not receive the treatment. Results: Soft tissue swelling was markedly decreased in patients who received the placement of the steroid-soaked gelatin sponge next to their fused levels after surgery compared with that in patients who did not receive it. No complications were documented with the use of steroids. Conclusions: The placement of a steroid-soaked gelatin sponge markedly reduces postoperative soft tissue swelling following 2- or 3-level primary ACDF.

참고문헌 (23)

참고문헌 신청

Marawar S / 2010 / National trends in anterior cervical fusion procedures / Spine (Phila Pa 1976) 35:1454~1459

Memtsoudis SG / 2011 / Increased in-hospital complications after primary posterior versus primary anterior cervical fusion / Clin Orthop Relat Res 469:649~657

Martin RE / 1997 / Dysphagia following anterior cervical spine surgery / Dysphagia 12:2~8

Sagi HC / 2002 / Airway complications associated with surgery on the anterior cervical spine / Spine (Phila Pa 1976) 27:949~953

Smith-Hammond CA / 2004 / Prospective analysis of incidence and risk factors of dysphagia in spine surgery patients: comparison of anterior cervical, posterior cervical, and lumbar procedures / Spine (Phila Pa 1976) 29:1441~1446

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