<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2020000300286</article-id>
<article-id pub-id-type="doi">10.24875/ciru.19001257</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Dysphagia rates after minimally invasive tubular approach to the anterior cervical spine]]></article-title>
<article-title xml:lang="es"><![CDATA[Tasas de disfagia posoperatoria en el abordaje tubular mínimamente invasivo de la columna cervical anterior]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Rangel]]></surname>
<given-names><![CDATA[José A. I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soriano-Solís]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-García]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto-García]]></surname>
<given-names><![CDATA[Manuel E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soriano-Solís]]></surname>
<given-names><![CDATA[Héctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aranda-Torres]]></surname>
<given-names><![CDATA[Briscia Y.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soriano-Sánchez]]></surname>
<given-names><![CDATA[José A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,American British Cowdray Medical Center Centro Neurológico ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Sonora Departamento de Enseñanza ]]></institution>
<addr-line><![CDATA[ Sonora]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,American British Cowdray Medical Center Centro Neurológico Cirugía Ortopédica]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Sonora Facultad de Ciencias Nutricionales ]]></institution>
<addr-line><![CDATA[ Sonora]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,American British Cowdray Medical Center Centro Neurológico Clínica de Cirugía de Columna Vertebral]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>3</numero>
<fpage>286</fpage>
<lpage>291</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2020000300286&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2020000300286&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2020000300286&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Cervical spine surgery (anterior cervical spine surgery [ACSS]) is a commonly indicated to provide neurological decompression, correct deformity, and preserve stability. Current series report good to excellent results, but a number of patients suffer from dysphagia with reported rates as high as 80%.  Materials and methods: Retrospective cohort of patients undergoing ACSS (anterior cervical discectomy and fusion [ACDF]; and arthroplasty, total disc replacement [TDR]) from 2013 to 2017 by a single surgeon. We collected demographic data, surgical outcomes, clinical outcomes, and dysphagia incidence and magnitude (visual analog scale [VAS]), we analyzed results with SPSS 22.  Results: A total of 81 patients operated from 2013 to 2018, ACDF was performed in 70, and TDR was performed in 11, mean surgical time was 156.8, mean neck pain and radicular pain VAS reduced significantly in both groups (p &lt; 0.01). Dysphagia was encountered in 18 ACDF patients, and one TDR patient. Overall dysphagia rate was 9.1% in day-1 post-operative, with mean 0.27 magnitude (standard deviation [SD] 0.4) in ACDF group and 0.18 (0.6 SD) in TDR group, 1-month follow-up dysphagia rate was 0%.  Conclusions: Minimally invasive techniques may reduce post-operative dysphagia related to soft-tissue trauma, to 9% in day-1 post-operative (as compared to 39%), and to 0% (as compared to 8.5% reported worldwide) by 1-month follow-up.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La cirugía cervical anterior (CCA) esta comúnmente indicada para proporcionar descompresión neurológica, corregir deformidades y preservar la estabilidad. Las series actuales reportan tasas de disfagia de hasta el 80%.  Método: cohorte retrospectiva de pacientes sometidos a CCA (discectomía y fusión cervical anterior [DFCA], y artroplastia total de disco [ATD]) de 2013 a 2017. Se recopilaron datos demográficos, quirúrgicos, clínicos y de incidencia y magnitud de la disfagia (escala visual analógica [EVA]). Se analizaron los resultados con SPSS 22.  Resultados: 81 pacientes operados de 2013 a 2018, ACDF en 70 y ATD en 11, tiempo quirúrgico promedio de 156.8 minutos. La puntuación en la EVA cervical y radicular se redujo significativamente en ambos grupos (p &lt; 0.01). Hubo disfagia en 18 pacientes con DFCA y en uno con ATD. La tasa de disfagia fue del 9.1% en el primer día de posoperatorio, con EVA de 0.27 (desviación estándar [DE]: 0.4) en el grupo DFCA y de 0.18 (DE: 0.6) en el grupo ATD. La tasa de disfagia de seguimiento a 1 mes fue del 0%.  Conclusiones: Las técnicas mínimamente invasivas reducen la disfagia posoperatoria en CCA al 9% en el primer día (en comparación con el 39%) y al 0% (en comparación con el 8.5% reportado mundialmente) al mes de seguimiento.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Anterior cervical]]></kwd>
<kwd lng="en"><![CDATA[Tubular]]></kwd>
<kwd lng="en"><![CDATA[Minimally invasive]]></kwd>
<kwd lng="en"><![CDATA[Dysphagia]]></kwd>
<kwd lng="en"><![CDATA[Spine surgery]]></kwd>
<kwd lng="en"><![CDATA[Anterior cervical spine surgery]]></kwd>
<kwd lng="es"><![CDATA[Cervical anterior]]></kwd>
<kwd lng="es"><![CDATA[Tubular]]></kwd>
<kwd lng="es"><![CDATA[Minimamente invasiva]]></kwd>
<kwd lng="es"><![CDATA[Disfagia]]></kwd>
<kwd lng="es"><![CDATA[Cirugía de columna]]></kwd>
<kwd lng="es"><![CDATA[Cirugía cervical anterior]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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