Anterior cervical spine surgery ( ACSS ) is commonly used for the treatment of numerous cervical disorders, such as traumatic, degenerative and congenital diseases. Dysphagia is one of the most common complications after ACSS. The reported risk factors of dysphagia after ACSS included multilevel surgery, revision surgery, gender ( female ), prolonged operating time, age ( older than 60 y ), psychological problems, use of BMP or rhBMP, smoking, and change of C2-7 angle etc. Effective preventative measures included preoperative tracheal traction exercises, maintaining of the endotracheal tube cuff pressure at 20 mm Hg, not-prolonged operating time, improved skills of surgeons, non-smoking, avoided routine use of rhBMP-2, avoided overenlargement of cervical lordosis, decreased surgical levels, mastering of anatomy of the superior laryngeal nerve and recurrent laryngeal nerve, and applications of steroid, Zero-profile implant, Zephir plate, new cervical retractor.

作者：刘景伟；海涌；康南；杨林；陈小龙；张硕

来源：中国骨与关节杂志 2017 年 6卷 12期