Randomized Controlled Trials of the Effects of Decadron on Swallowing, Airway, and Arthrodesis

Anterior cervical discectomy and fusion with or without decompression is a well-established
surgical treatment for spine patients with the appropriate indications. Anterior approach
involves some retraction that affect the midline structures of the anterior neck. Irritation
and swelling may result, leading to postoperative dysphagia and the less common but
critically important occurrence of postoperative airway compromise. Steroids given
intraoperatively may reduce the incidence of these adverse outcomes by reducing the degree
of swelling within the anterior neck subsequent to local surgical tissue trauma.

The investigators hypothesize that the use of steroids intraoperatively provides a
significant benefit to the patient, in terms of reduced incidence of dysphagia and airway
compromise.