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Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion
Joint Authors
Nathani, Amit
Weber, Alexander E.
Wahlquist, Trevor C.
Graziano, Gregory P.
Patel, Rakesh D.
Park, Paul
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Nathani, Amit& Weber, Alexander E.& Wahlquist, Trevor C.& Graziano, Gregory P.& Park, Paul& Patel, Rakesh D.. 2015. Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion. Case Reports in Orthopedics،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059436
Modern Language Association (MLA)
Nathani, Amit…[et al.]. Delayed Presentation of Pharyngeal Erosion after Anterior Cervical Discectomy and Fusion. Case Reports in Orthopedics No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059436
American Medical Association (AMA)
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. Case Reports in Orthopedics. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059436
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059436