The investigators believe that the transection of the omohyoid during an anterior cervical discectomy and fusion decreases the incidence of dysphagia in patients who undergo this procedure when compared to patients who do not have the omohyoid transected.
The target population is female and male patients between 21 - 85 years old undergoing multilevel anterior cervical decompression and fusion.
Patients with a history of preoperative dysphagia, those with conditions that expose them to high risk of postoperative dysphagia (such as motor neuron disease), and those with cervical non-degenerative pathology, such as tumor or trauma as well as those who have lost to follow up, will be excluded from the study.
Parallel
Discectomy of Omohyoid
Procedure/SurgeryWill be removing the Omohyoid during an anterior cervical discectomy and fusion to compare its effect of dysphagia.
Control group no discectomy of Omohyoid
Procedure/SurgeryWill not be removing the Omohyoid during an anterior cervical discectomy and fusion to compare its effect of dysphagia.
Neck Disability Index
This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life.
Dysphagia Short Questionnaire- "The Dysphagia Questionnaire
a 10-point rating scale, were 1 is the minimum value, 10 is the maximum value, and the higher scores means the worse outcome and lower scores are the better outcomes. In the Dysphagia questionnaire the patients provide an assessment of the severity of dysphagia symptoms experienced.
Neck Circumference
Measurement of neck circumference in centimeters
Body Mass Index
Measure the body mass index of the patient
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