Anterior Cervical Discectomy and Fusion: A Hidden Etiology of Obstructive Sleep Apnea.

acdf anterior cervical discectomy and fusion apap automatic positive airway pressure cervical spine surgery cpap obstructive sleep apnea osa

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Feb 2022
Historique:
accepted: 13 02 2022
entrez: 21 3 2022
pubmed: 22 3 2022
medline: 22 3 2022
Statut: epublish

Résumé

Obstructive Sleep Apnea (OSA), a common variant of sleep-disordered breathing, is characterized by repeated complete or partial collapse of upper airways during sleep, leading to oxyhemoglobin desaturations. The obstruction may be iatrogenically induced in patients undergoing Anterior Cervical Discectomy and Fusion (ACDF). Damage to the pharyngeal plexus during the procedure may predispose to a new collapse of the upper airway, and the placement of the hardware for the fusion may lead to further narrowing of the upper airway. Literature does not exist associating this possible etiology prospectively. The association of ACDF and OSA has only been retrospectively documented by Guiilleminault and associates. We are reporting a case of a 49-year-old female who was evaluated pre and post surgery and established the evidence of worsening OSA in a patient who underwent ACDF.

Identifiants

pubmed: 35308725
doi: 10.7759/cureus.22185
pmc: PMC8925988
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e22185

Informations de copyright

Copyright © 2022, Wasey et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Waiz Wasey (W)

Family and Community Medicine, Southern Illinois University (SIU) School of Medicine, Springfield, USA.

Sharefi Saleh (S)

Family Medicine, Ruth Temple Clinic, Los Angeles, USA.

Naila Manahil (N)

Family Medicine, Southern Illinois University (SIU) School of Medicine, Springfield, USA.

Asiya Mohammed (A)

Family Medicine, Southern Illinois University (SIU) Center for Family and Community Medicine, Springfield, USA.

Neha Wasey (N)

General Practice, Shadan Institute of Medical Sciences, Hyderabad, IND.

Classifications MeSH