Minimizing Prevalence of Dysphagia Following Anterior Cervical Arthrodesis

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Minimizing Prevalence of Dysphagia Following Anterior Cervical Arthrodesis

Sergio Mendoza-Lattes, MD and Charles R. Clark, MD

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The prevalence of dysphasia after cervical decompression and arthrodesis is estimated to be 50% within one month and 21% at twelve months post surgery. Doctors Clark and Mendoza-Lattes report in their JBJS article that dynamic retraction seemed to be associated with a lower prevalence of postoperative dysphagia. In this video supplement to the article, the authors discuss and demonstrate several useful techniques they employ to decrease intraoperative esophasgeal pressure and avoid decreased esophageal mucosal blood flow during surgical retraction.

Preoperative Review
Ceervical Exposure
Plate Fixation
Avoiding Postoperative Dysphagia
Surgical Pearls
Avoiding Complications

See the Corresponding JBJS Article:

Sergio Mendoza-Lattes, Kirk Clifford, Robert Bartelt, Janet Stewart, Charles R. Clark, and André P. Boezaart.: Dysphagia Following Anterior Cervical Arthrodesis Is Associated with Continuous, Strong Retraction of the Esophagus
J. Bone Joint Surg. Am., Feb 2008; 90: 256 - 263. [Abstract] [Full Text]

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Specifications

Total Run Time: 19:47 minutes
Catalog Number: 8023
VJO Publication Date: March 2008

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