{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T16:07:13Z","timestamp":1776096433683,"version":"3.50.1"},"reference-count":70,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,10]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>This study investigated the relationship between diabetes and the incidence of postoperative dysphagia following cervical spine surgery (CSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A prospectively collected multi-institutional quality registry was retrospectively reviewed. Patients who underwent CSS were categorized on the basis of diabetes status, and correlations with preoperative and postoperative Eating Assessment Tool-10 (EAT-10) dysphagia questionnaire scores were assessed. Mixed-effects logistic regressions were performed to examine the impact of preoperative diabetes on postoperative dysphagia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Of the 2001 patients who met the inclusion criteria, 400 (20%) had diabetes. Baseline dysphagia rates were not significantly different between groups (18% vs 14%, p = 0.08). Patients with diabetes had a significantly higher incidence of dysphagia at 1 month (66% vs 54%, p = 0.002), 3 months (39% vs 26%, p &lt; 0.001), and 12 months (33% vs 24%, p = 0.004) after surgery compared to patients without diabetes. Including baseline dysphagia as a fixed effect, multivariable analysis indicated that diabetes was a significant predictor of postoperative dysphagia at 1 month (OR 1.46, p = 0.041) and 3 months (OR 1.63, p = 0.001) but not at 12 months (OR 1.21, p = 0.3). In patients with no baseline dysphagia, those with diabetes (329 of 400 [82.3%]) had a significantly higher incidence of new dysphagia than nondiabetics at 1 month (62% vs 50%, p = 0.003), 3 months (34% vs 21%, p &lt; 0.001), and 12 months (27% vs 18%, p = 0.001). The mean change in EAT-10 scores between baseline and 12 months was significantly worse in patients with preoperative diabetes (2.440 \u00b1 5.013 vs 1.688 \u00b1 4.139, p = 0.025). Multivariable analysis indicated that diabetes was a significant predictor of new postoperative dysphagia at 1 month (OR 1.49, p = 0.040) and 3 months (OR 1.81, p &lt; 0.001) but not at 12 months (OR 1.31, p = 0.2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Diabetes is a significant risk factor for experiencing postoperative dysphagia following CSS. Diabetes correlated with higher incidence of dysphagia at all postoperative time points and was a strong independent predictor of postoperative dysphagia at 1 and 3 months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.11.spine25838","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T15:26:39Z","timestamp":1776093999000},"page":"1-11","source":"Crossref","is-referenced-by-count":0,"title":["Diabetes as a significant risk factor for postoperative dysphagia following cervical spine surgery"],"prefix":"10.3171","author":[{"given":"Catherine M.","family":"Milne","sequence":"first","affiliation":[{"name":"Goodman Campbell Brain and Spine, Carmel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas P.","family":"Tippins","sequence":"additional","affiliation":[{"name":"Goodman Campbell Brain and Spine, Carmel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne M.","family":"Foreit","sequence":"additional","affiliation":[{"name":"Goodman Campbell Brain and Spine, Carmel;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent J.","family":"Alentado","sequence":"additional","affiliation":[{"name":"Goodman Campbell Brain and Spine, Carmel;"},{"name":"Department of Neurosurgery, Ascension St. Vincent Hospital, Indianapolis, Indiana;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica F.","family":"Bisson","sequence":"additional","affiliation":[{"name":"University of Utah Health, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Porche","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, Minnesota; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin T.","family":"Foley","sequence":"additional","affiliation":[{"name":"Semmes Murphey Clinic & University of Tennessee Health Science Center, Memphis, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric A.","family":"Potts","sequence":"additional","affiliation":[{"name":"Goodman Campbell Brain and Spine, Carmel;"},{"name":"Department of Neurosurgery, Ascension St. Vincent Hospital, Indianapolis, Indiana;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"J Neurosurg Spine","first-page":"382","article-title":"Dysphagia after cervical spine surgery: a review of risk factors and preventative measures","volume":"38","author":"Alentado VJ","year":"2023","unstructured":"Alentado VJ, Bisson EF, Potts EA. 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