Anterior cervical spine surgery (ACSS) is a procedure for the treatment of several neck problems. Even though the procedure is overall safe and effective, there are possible complications after surgery, which include problems swallowing, hoarseness of the voice, and pain when swallowing. There are two different ways the spinal surgeon can approach the spine from the front of the neck. One is called a Smith-Robinson approach, and the other is called a strap-splitting approach. Each approach uses the same skin cut, the difference is only in how the next layer is approached, whether on the outside (Smith-Robinson) or through (strap-splitting) one of the small muscles in your neck. Because of the slightly different approaches to the surgery, we want to see if there are differences in complications related to swallowing and speaking between these two approaches. Participants will undergo one of the two surgical approaches, based on surgeon preference. Participants will complete a questionnaire at several time points during their clinical follow-up to assess any difficulties swallowing and speaking.
Study Type
OBSERVATIONAL
Enrollment
100
Hamilton Health Sciences - Hamilton General Hospital
Hamilton, Ontario, Canada
RECRUITINGDysphagia as per the HSS-DDI
Time frame: 6 weeks post-operative
Dysphagia as measured by the HSS-DDI
Time frame: post-operative day 1, 6 months, and 12 months
Changes in voice as measured by the HSS-DDI
Time frame: Post-operative day 1, 6 weeks, 6 months, and 12 months
Length of intraoperative time in minutes, adjusting for surgeon, surgical type, and number of levels
Time frame: Time of surgery
Injury to vital neurovascular structures
Time frame: Time of surgery
Blood loss during surgery measured in mL
Time frame: Time of surgery
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