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Surgical Outcomes of Dysphagia Provoked by Diffuse Idiopathic Skeletal Hyperostosis in the Cervical Spine
DC Field | Value | Language |
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dc.contributor.author | 박정윤 | - |
dc.contributor.author | 하윤 | - |
dc.date.accessioned | 2020-12-01T16:54:22Z | - |
dc.date.available | 2020-12-01T16:54:22Z | - |
dc.date.issued | 2020-04 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/180038 | - |
dc.description.abstract | Purpose: This study aimed to predict the surgical outcomes of diffuse idiopathic skeletal hyperostosis (DISH)-related dysphagia (DISH-phagia) and to evaluate the importance of prevertebral soft tissue thickness (PVST). Materials and methods: In total, 21 surgeries (anterior osteophytectomy or anterior cervical decompression and fixation) were included in this study for DISH-phagia from 2003 to 2019. Clinical outcomes were assessed using the Dysphagia Outcome and Severity Scale (DOSS) preoperatively, at 1 month postoperatively, and last follow up (mean 29.5 months). PVST was measured using lateral plain radiographs. Paired t-test and Spearman's correlation test was used to identify relationships between various PVST indices and DOSS. Results: Comparisons were made from 17 patients out of 21, in which the record had all of three measurements. The narrowest PVST preoperatively was 2.55±0.90 mm, with a DOSS score of 4.47±1.61, and that at 1 month after surgery was 5.02±2.33 mm, with a DOSS score of 6.12±1.32. At last follow up, PVST and DOSS values were 3.78±0.92 mm and 5.82±1.34, and three patients experienced symptom relapse. Significant relationships were found between PVST and DOSS at all time points: before surgery (R=0.702, p<0.001), 1 month after surgery (R=0.539, p=0.012), and last follow up (R=0.566, p=0.020). Conclusion: Surgical removal of anterior osteophytes is an effective treatment option for DISH-phagia, and PVST is a useful parameter in DISH-phagia. The goal of DISH surgery should be to remove DISH as much as possible to ensure sufficient PVST postoperatively. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Yonsei University | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Surgical Outcomes of Dysphagia Provoked by Diffuse Idiopathic Skeletal Hyperostosis in the Cervical Spine | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Young Soo Chung | - |
dc.contributor.googleauthor | Ho Yeol Zhang | - |
dc.contributor.googleauthor | Yoon Ha | - |
dc.contributor.googleauthor | Jeong Yoon Park | - |
dc.identifier.doi | 10.3349/ymj.2020.61.4.341 | - |
dc.contributor.localId | A01650 | - |
dc.contributor.localId | A04255 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 32233177 | - |
dc.subject.keyword | Diffuse idiopathic skeletal hyperostosis | - |
dc.subject.keyword | dysphagia | - |
dc.subject.keyword | osteophyte | - |
dc.contributor.alternativeName | Park, Jeong Yoon | - |
dc.contributor.affiliatedAuthor | 박정윤 | - |
dc.contributor.affiliatedAuthor | 하윤 | - |
dc.citation.volume | 61 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 341 | - |
dc.citation.endPage | 348 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.61(4) : 341-348, 2020-04 | - |
dc.identifier.rimsid | 67529 | - |
dc.type.rims | ART | - |
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