{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:45:30Z","timestamp":1790876730295,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82302785"],"award-info":[{"award-number":["82302785"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The prevertebral fascia (PVF), which constitutes part of the deep layer of the deep cervical fascia, is routinely incised during anterior cervical discectomy and fusion (ACDF) surgery. Suturing the PVF could serve as an optimal barrier between the surface of the fusion device and the posterior esophagus and may alleviate postoperative dysphagia. Thus, this retrospective study was aimed to (1) evaluate the impact of prevertebral fascia (PVF) suturing and (2) perform a multivariate analysis of relevant risk factors for postoperative dysphagia following anterior cervical discectomy and fusion (ACDF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 197 patients who underwent ACDF and had at least 1\u2009year of follow\u2010up between June 2020 and February 2024 were retrospectively reviewed. To compare baseline data and incidence of dysphagia, the patients were divided into two groups on the basis of whether they had undergone PVF suturing during the operation (suture group,\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200983; nonsuture group,\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009114). The incidence and severity of dysphagia were evaluated using the Bazaz grading system. The patients were further categorized into a dysphagia group (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200956) and a nondysphagia group (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009141) to conduct a multivariate analysis of dysphagia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with the nonsuture group, the suture group presented a significantly lower incidence and severity of dysphagia at 1\u2009week, 1\u2009month, and 3\u2009months postoperatively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). A binary logistic regression analysis revealed that advanced age (odds ratio [OR], 1.034; 95% confidence interval [95% CI, 1.006\u20131.063]), greater \u0394C\n                      <jats:sub>2\u20107<\/jats:sub>\n                      A (OR, 1.141; 95% CI, 1.056\u20131.232), minor \u0394TS\u2010CL (OR, 0.890; 95% CI, 0.842\u20130.941), and nonsutured PVF (OR, 0.329; 95% CI, 0.146\u20130.740) were significantly associated with higher rates of dysphagia (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\n                      <jats:bold>&lt;\u20090.05<\/jats:bold>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Suturing of the PVF during ACDF can significantly decrease the incidence and severity of transient postoperative dysphagia in patients. The incidence of postoperative dysphagia is also significantly associated with advanced age, greater \u0394C\n                      <jats:sub>2\u20107<\/jats:sub>\n                      A, and minor \u0394TS\u2010CL.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70180","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T03:45:48Z","timestamp":1761536748000},"page":"3354-3363","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Prevertebral Fascia Suture and Relevant Risk Factors on Postoperative Dysphagia Following Anterior Cervical Discectomy and Fusion"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8093-816X","authenticated-orcid":false,"given":"Chengyi","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majiao","family":"Jiang","sequence":"additional","affiliation":[{"name":"Operation Room, Department of Anesthesiology, West China Hospital, Sichuan University\/West China School of Nursing Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4884-0725","authenticated-orcid":false,"given":"Tingkui","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junbo","family":"He","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwei","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaqing","family":"Sheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dingke","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"He","sequence":"additional","affiliation":[{"name":"Department of Neurology, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Pain Treatment Tianjin Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,26]]},"reference":[{"issue":"3","key":"e_1_2_13_2_1","first-page":"607","article-title":"The Treatment of Certain Cervical\u2010Spine Disorders by Anterior Removal of the Intervertebral Disc and Interbody Fusion","volume":"40","author":"Smith G. 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