![]() Dysphonia and dysphagia are persistent problems in a significant proportion of patients, even beyond 5 years after anterior cervical spine surgery. Problems with singing were present in 16 patients (21.6%) postoperatively, occurring more frequently if the C3/4 disc was included in the surgery and in patients who have had a greater total number of anterior cervical surgeries at the time of review. Keep in mind that 25 of patients who have a cervical fusion will end up. This also occurred more commonly in females and in patients in whom possible non-union is present in at least one of the levels operated upon. Pain after neck surgery is common especially when patients have a fusion surgery. Dysphonia at final review persisted in 14 patients (18.9%). This occurred more frequently in females and in younger patients. At final review, persistent dysphagia was present in 26 patients (35.1%). Emphasis was placed on the symptoms of dysphagia and dysphonia, as related to the index surgery. Seventy-four patients who had anterior cervical discectomy and fusion with allograft and plating an average of 7.2 years prior responded to an invitation to return for a follow-up clinical review. Dysphagia, aspiration pneumonitis, and reintubation rates are also significantly higher in patients 80 years of age or older. Both 90-day (OR: 4.34) and 1-year (OR 3.68) mortality were significantly higher in the 80 year cohort. A retrospective review was performed on patients who had anterior cervical discectomy and fusion by a single surgeon more than 5 years prior, to determine the persistence of swallowing and voice problems in them. Conclusion: Patients 80 years of age or older are more likely to experience a major medical complication or mortality following anterior cervical fusion for cervical spondylosis than patients 65 to 79 years old. ![]() Most studies report that swallowing and voice problems after such surgeries tend to resolve with time and are often of minor significance except in the rare cases of recurrent laryngeal nerve palsies. ![]() Anterior cervical discectomy and fusion is commonly performed for cervical disc disease. ![]()
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