Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00028781.xml
![](/products/assets/desktop/img/oa-logo.png)
CC BY 4.0 · Surg J (N Y) 2018; 04(02): e78-e81
DOI: 10.1055/s-0038-1653979
DOI: 10.1055/s-0038-1653979
Case Report
Dyspnea in the Supine Position after Anterior Cervical Discectomy and Fusion
Further Information
Publication History
12 January 2018
09 April 2018
Publication Date:
23 May 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00028781/201802/lookinside/thumbnails/10-1055-s-0038-1653979_1800007cr-1.jpg)
Abstract
Posterior occipitocervicothoracic fusion in a flexed position may cause dyspnea, and the onset of obstructive sleep apnea after anterior upper cervical fusion. However, there are no reports of dyspnea occurring after anterior lower cervical fusion. Here, we present an unusual case of dyspnea in the supine position after a C5-C6 anterior cervical discectomy and fusion.
-
References
- 1 Bazaz R, Lee MJ, Yoo JU. Incidence of dysphagia after anterior cervical spine surgery: a prospective study. Spine 2002; 27 (22) 2453-2458
- 2 Guilleminault C, Li KK, Philip P, Kushida CA. Anterior cervical spine fusion and sleep disordered breathing. Neurology 2003; 61 (01) 97-99
- 3 Johns MW. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 1991; 14 (06) 540-545
- 4 Kanti V, Aparna MK. Obstructive sleep apnea in a patient with orofacial pain secondary to cervical fixation. J Am Dent Assoc 2017; 148 (03) 185-189
- 5 Kepler CK, Rihn JA, Bennett JD. , et al. Dysphagia and soft-tissue swelling after anterior cervical surgery: a radiographic analysis. Spine J 2012; 12 (08) 639-644
- 6 Khan A, Than KD, Chen KS, Wang AC, La Marca F, Park P. Sleep apnea and cervical spine pathology. Eur Spine J 2014; 23 (03) 641-647
- 7 Lee MJ, Bazaz R, Furey CG, Yoo J. Influence of anterior cervical plate design on Dysphagia: a 2-year prospective longitudinal follow-up study. J Spinal Disord Tech 2005; 18 (05) 406-409
- 8 Nuckton TJ, Glidden DV, Browner WS, Claman DM. Physical examination: Mallampati score as an independent predictor of obstructive sleep apnea. Sleep 2006; 29 (07) 903-908
- 9 Wattenmaker I, Concepcion M, Hibberd P, Lipson S. Upper-airway obstruction and perioperative management of the airway in patients managed with posterior operations on the cervical spine for rheumatoid arthritis. J Bone Joint Surg Am 1994; 76 (03) 360-365
- 10 Yoshida M, Neo M, Fujibayashi S, Nakamura T. Upper-airway obstruction after short posterior occipitocervical fusion in a flexed position. Spine 2007; 32 (08) E267-E270