Anterior cervical spine fusion and sleep disordered breathing.
The authors reviewed 12 patients who developed obstructive sleep apnea (OSA) syndrome in association with anterior cervical spine fusion. Four subsequent patients were studied prospectively before C2 to C4 anterior fusion and documented to have OSA by questionnaire, visual analogue scales, polysomnography, and multiple sleep latency tests. The authors found that placement of the anterior cervical plates reduced the size of the upper airway. Symptoms and objective findings were controlled with nasal continuous positive airway pressure.
Guilleminault
Christian
C
Stanford University Sleep Disorders Center, CA 94305, USA. cguil@stanford.edu
Li
Kasey K
KK
Philip
Pierre
P
Kushida
Clete A
CA
D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D002574:Cervical Vertebrae / Q000601:surgery*; D045422:Continuous Positive Airway Pressure; D018491:Dopamine Agonists / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery; D008297:Male; D009333:Neck; D010147:Pain Measurement; D017286:Polysomnography; D011446:Prospective Studies; D012189:Retrospective Studies; D012891:Sleep Apnea Syndromes / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D013123:Spinal Fusion / Q000009:adverse effects*; D016896:Treatment Outcome
D018491:Dopamine Agonists