Do Intraoperative Topical Corticosteroids Aid in the Prevention of Postoperative Dysphagia Following Elective Anterior Cervical Discectomy and Fusion? A Randomized, Controlled, Double Blinded Clinical Trial
Overview
- Phase
- Not Applicable
- Intervention
- Methylprednisolone Acetate
- Conditions
- Cervical Disc Herniation
- Sponsor
- Hospital for Special Surgery, New York
- Enrollment
- 128
- Primary Endpoint
- Degree of Dysphagia Patients Experience (Social)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study is to determine what effect intraoperative topical steroids have on reducing swallowing difficulty following Anterior Cervical Discectomy and Fusion surgery.
Detailed Description
Background: Dysphagia is a serious post-operative concern in patients following anterior cervical surgery. Although many experts have acknowledged that dysphagia is often incompletely understood and defined, there is a significant amount of literature to support the significance of this clinical entity. This is the first randomized study to examine the use of topical steroids for the prevention of dysphagia postoperatively after anterior cervical discectomy and fusion. Study Design: This study is a single site, double blinded randomized control trial. All individuals undergoing 2-4 level ACDF that meet the inclusion criteria will be randomized to either: 1. treatment arm or 2. control arm. Both arms will undergo their planned surgeries and will receive the exact same procedure and standard of care as if they were not enrolled in a study. The only difference is that the treatment arm will receive 40 mg of Methylprednisolone Acetate delivered with one Hemostatic Matrix Kit injectable delivery vehicle prior to closure in the prevertebral soft tissues. The control group will receive only Hemostatic Matrix Kit prior to closure in the prevertebral soft tissues. Outcomes: Patients will be asked to fill out questionnaires that assess dysphagia, general swallowing difficulty, and how neck pain impacts their quality of life. Additionally Radiographic images will be obtained at set time points to evaluate soft tissue inflammation and bony fusion.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Any patient \> 18 years undergoing a 2-4 level Anterior Cervical Discectomy and Fusion
Exclusion Criteria
- •Patients undergoing revision surgery
- •Pediatric patients
- •Trauma patients with cervical spine fractures
- •Patients with cancer
- •Patients with active infection
- •Patients with a known allergy to Methylprednisolone Acetate
- •Patients who refuse to participate
- •Non English speakers
Arms & Interventions
Treatment
Procedure: Anterior Cervical Discectomy and Fusion. The treatment arm will receive 40 mg of Methylprednisolone Acetate delivered with a Hemostatic Matrix Kit prior to closure.
Intervention: Methylprednisolone Acetate
Treatment
Procedure: Anterior Cervical Discectomy and Fusion. The treatment arm will receive 40 mg of Methylprednisolone Acetate delivered with a Hemostatic Matrix Kit prior to closure.
Intervention: Hemostatic Matrix Kit
Control
Procedure: Anterior Cervical Discectomy and Fusion. The control group will receive only a Hemostatic Matrix Kit prior to closure.
Intervention: Hemostatic Matrix Kit
Outcomes
Primary Outcomes
Degree of Dysphagia Patients Experience (Social)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Social domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Burden)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Burden domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Eating Desire)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Eating desire domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Sleep)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Sleep domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Food Selection)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Food Selection domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Eating Duration)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Eating duration domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Fear Swallow)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Fear swallow domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Communication)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Communication domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Mental)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Mental domain Score ranges between 0 and 100 (worst-best)
Degree of Dysphagia Patients Experience (Fatigue)
Time Frame: Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months
SWAL-QOL survey - Fatigue domain Score ranges between 0 and 100 (worst-best)
Secondary Outcomes
- Patient Reported Swallowing Difficulty Over 1 Year(Pre-Op, Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months)
- Patients' Bazaz Dysphagia Score - Solid(Pre-Op, Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months)
- Patients' Neck Disability(Pre-Op, Week 4-6, 3 Months, 6 Months, 12 Months)
- Fusion Rate(12 Months)
- Patients' Pain Scores on the Visual Analog Scale - Left Arm Pain(Pre-Op, Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months)
- Patients' Bazaz Dysphagia Score - Liquid(Pre-Op, Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months)
- Patients' Pain Scores on the Visual Analog Scale - Neck Pain(Pre-Op, Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months)
- Patients' Pain Scores on the Visual Analog Scale - Right Arm Pain(Pre-Op, Post-Op Day 1, Post-Op Day 2, Week 4-6, 3 Months, 6 Months, 12 Months)
- Change in Pre-vertebral Soft Tissue Swelling Over 1 Year(Pre-Op, Post-Op Day 1, Week 4-6, 3 Months, 6 Months, 12 Months)
- Adverse Event(12 month)