Surgeons can safely reduce prevertebral soft tissue swelling and odynophagia after anterior cervical discectomy and fusions by using the retropharyngeal local steroid, according to a new study published in Spine.
Researchers examined 50 cases where patient underwent one- or two-level ACDF and followed patients for 22 months. There were 25 cases randomly selected as the steroid group, receiving a mixture of triaminolone and morcellized collagen sponge. The control group underwent the operation without the steroid.
In the steroid group, the PSTS ratio was lower on C3 and C4 immediately after the operation, and was lower on C3-C6 two days postoperatively. Immediately after the operation, PSTSI for the steroid group was 58.2 percent, compared with 74.3 percent in the control group. At two weeks, PSTSI for the steroid group was 44.9 percent, compared with 51.4 percent for the control group.
Until two weeks postoperatively, the visual analogue scale for odynophagia was significantly lower in the steroid group and on the last follow up there was no difference in radiological and clinical outcomes.
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In the steroid group, the PSTS ratio was lower on C3 and C4 immediately after the operation, and was lower on C3-C6 two days postoperatively. Immediately after the operation, PSTSI for the steroid group was 58.2 percent, compared with 74.3 percent in the control group. At two weeks, PSTSI for the steroid group was 44.9 percent, compared with 51.4 percent for the control group.
Until two weeks postoperatively, the visual analogue scale for odynophagia was significantly lower in the steroid group and on the last follow up there was no difference in radiological and clinical outcomes.
Related Articles on Spine Surgery:
Study Analyzes Impact of Growing-Rod Lengthening Surgery Overtime
Study: Cervical Disc Arthroplasty Better Than ACDF for Cervical Disc Disease
Spine Surgeons Have Higher Risk of Orthopedic Disorders