74 patients scheduled for an anterior cervical spine procedure were randomized to receive systemic peri-operative corticosteroids or normal saline for the treatment of dysphagia. The primary outcome of the change in swallowing was measured with the Bazaz scale and the Dysphagia Short Questionnaire (DSQ). Additional outcomes of interest included the Quality of Life 12, Neck Disability Index and surgical outcomes. Follow up was performed up to 1 year post-operation. Results revealed significantly favourable Bazaz scale and DSQ scores in the corticosteroid group compared to the placebo group, however significant differences were found only in patients who had received multilevel procedures. No significant differences were observed between the two groups in the Quality of Life 12, Neck Disability index or surgical outcomes.