Review articleOtolaryngologic complications of the anterior approach to the cervical spine
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Costs and benefits of intraoperative neurophysiological monitoring in spinal surgeries
2020, Neurophysiology in Neurosurgery: A Modern ApproachNeurophysiological monitoring during cervical spine surgeries: Longitudinal costs and outcomes
2018, Clinical NeurophysiologyCitation Excerpt :By looking on a longer timeline, we can see the effects of neurological complications on healthcare utilization which may have not been reported on initial discharge. Dysphonia and dysphagia are neurological complications of cervical spine surgeries that are frequently underreported or ignored (Winslow and Meyers, 1999), but may persist for a year or more after surgery (Mehra et al., 2014). C5 radiculopathy may not be readily evident on discharge, but subsequently may be marked by more visits to specialists for diagnostic interventions (such as electromyograms and nerve conduction studies), more usage of rehabilitative services (physical and occupational therapy), and more use of opiate medication to combat radicular pain.
Lower cervical levels: Increased risk of early dysphonia following anterior cervical spine surgery
2016, Clinical Neurology and NeurosurgeryCitation Excerpt :Proposed causes included stretching injuries RLN or superior laryngeal nerve (SLN) [24], impingements of terminal branches of RLN between endotracheal tubes and retractors, [25], sharp dissections, direct trauma to the cricoarytenoid joints [18], edema, as well as delayed osteophytes formation [26]. It was suggested that injuries of RLN leading to impaired vocal fold motion (paresis) or complete vocal fold paralysis accounted for the majority dysphonia [21,27]. Results of current study fully supported this standpoint.