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Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion
Dysphagia after anterior cervical discectomy and fusion (ACDF) is common, with a prevalence ranging between 28% and 57% of cases. However, nearly all cases resolve spontaneously within 2 years, thus identifying patients who require more detailed or invasive work-up is a challenging task for clinicia...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325201/ https://www.ncbi.nlm.nih.gov/pubmed/25699193 http://dx.doi.org/10.1155/2015/173687 |
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author | Nathani, Amit Weber, Alexander E. Wahlquist, Trevor C. Graziano, Gregory P. Park, Paul Patel, Rakesh D. |
author_facet | Nathani, Amit Weber, Alexander E. Wahlquist, Trevor C. Graziano, Gregory P. Park, Paul Patel, Rakesh D. |
author_sort | Nathani, Amit |
collection | PubMed |
description | Dysphagia after anterior cervical discectomy and fusion (ACDF) is common, with a prevalence ranging between 28% and 57% of cases. However, nearly all cases resolve spontaneously within 2 years, thus identifying patients who require more detailed or invasive work-up is a challenging task for clinicians. A review of literature reveals a paucity of case reports detailing work-up and successful management options. The authors performed a clinical and radiographic review of a case of a 47-year-old female who presented with persistent dysphagia 3 years following anterior cervical spine surgery and was found to have an erosive pharyngeal defect with exposed spinal hardware. The diagnosis was made with direct laryngoscopy and treatment consisted of plate removal and pharyngeal repair, followed by revision fusion with deformity correction. This case and the accompanying pertinent review of the literature highlight the importance of a thorough evaluation of dysphagia, especially in the mid- and late-term postoperative period following ACDF, when most cases of dysphagia should have been resolved. Correctly identifying the underlying etiology of dysphagia may lead to improved revision of ACDF outcomes. Unresolved dysphagia should be a red flag for surgeons as it may be the presentation of erosive esophageal/pharyngeal damage, a rare but serious complication following ACDF. |
format | Online Article Text |
id | pubmed-4325201 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-43252012015-02-19 Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion Nathani, Amit Weber, Alexander E. Wahlquist, Trevor C. Graziano, Gregory P. Park, Paul Patel, Rakesh D. Case Rep Orthop Case Report Dysphagia after anterior cervical discectomy and fusion (ACDF) is common, with a prevalence ranging between 28% and 57% of cases. However, nearly all cases resolve spontaneously within 2 years, thus identifying patients who require more detailed or invasive work-up is a challenging task for clinicians. A review of literature reveals a paucity of case reports detailing work-up and successful management options. The authors performed a clinical and radiographic review of a case of a 47-year-old female who presented with persistent dysphagia 3 years following anterior cervical spine surgery and was found to have an erosive pharyngeal defect with exposed spinal hardware. The diagnosis was made with direct laryngoscopy and treatment consisted of plate removal and pharyngeal repair, followed by revision fusion with deformity correction. This case and the accompanying pertinent review of the literature highlight the importance of a thorough evaluation of dysphagia, especially in the mid- and late-term postoperative period following ACDF, when most cases of dysphagia should have been resolved. Correctly identifying the underlying etiology of dysphagia may lead to improved revision of ACDF outcomes. Unresolved dysphagia should be a red flag for surgeons as it may be the presentation of erosive esophageal/pharyngeal damage, a rare but serious complication following ACDF. Hindawi Publishing Corporation 2015 2015-01-29 /pmc/articles/PMC4325201/ /pubmed/25699193 http://dx.doi.org/10.1155/2015/173687 Text en Copyright © 2015 Amit Nathani et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nathani, Amit Weber, Alexander E. Wahlquist, Trevor C. Graziano, Gregory P. Park, Paul Patel, Rakesh D. Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion |
title | Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion |
title_full | Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion |
title_fullStr | Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion |
title_full_unstemmed | Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion |
title_short | Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion |
title_sort | delayed presentation of pharyngeal erosion after anterior cervical discectomy and fusion |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325201/ https://www.ncbi.nlm.nih.gov/pubmed/25699193 http://dx.doi.org/10.1155/2015/173687 |
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