scholarly journals Assessing the Intraoperative Risk of Esophageal Perforation during Anterior Cervical Spine Surgery: A Study Using Intraoperative Computed Tomography

2020 ◽  
Vol 4 (2) ◽  
pp. 124-129 ◽  
Author(s):  
Atsushi Nakano ◽  
Yoshiharu Nakaya ◽  
Takashi Fujishiro ◽  
Sachio Hayama ◽  
Takuya Obo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Cervical Spine Surgery ◽  
Intraoperative Computed Tomography ◽  
Anterior Cervical Spine Surgery

Recurrent esophageal perforation after anterior cervical spine surgery: case report

2018 ◽  
Vol 27 (S3) ◽  
pp. 515-519 ◽  
Author(s):  
Man-Kyu Park ◽  
Dae-Chul Cho ◽  
Woo-Seok Bang ◽  
Kyoung-Tae Kim ◽  
Joo-Kyung Sung
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

Esophageal Perforation Following Anterior Cervical Spine Surgery

Spine ◽  
1989 ◽  
Vol 14 (10) ◽  
pp. 1051-1053 ◽  
Author(s):  
KENNETH E. NEWHOUSE ◽  
RONALD W. LINDSEY ◽  
CHARLES R. CLARK ◽  
JONAS LIEPONIS ◽  
MICHAEL J. MURPHY
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

scholarly journals Esophageal perforation after anterior cervical spine surgery: a systematic review of the literature

2016 ◽  
Vol 25 (3) ◽  
pp. 285-291 ◽  
Author(s):  
Sameer H. Halani ◽  
Griffin R. Baum ◽  
Jonathan P. Riley ◽  
Gustavo Pradilla ◽  
Daniel Refai ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Spinal Surgery ◽  
Esophageal Injury ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery ◽  
Pubmed Search ◽  
Anterior Spinal Surgery

OBJECTIVE Esophageal perforation is a rare but well-known complication of anterior cervical spine surgery. The authors performed a systematic review of the literature to evaluate symptomatology, direct causes, repair methods, and associated complications of esophageal injury. METHODS A PubMed search that adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines included relevant clinical studies and case reports (articles written in the English language that included humans as subjects) that reported patients who underwent anterior spinal surgery and sustained some form of esophageal perforation. Available data on clinical presentation, the surgical procedure performed, outcome measures, and other individual variables were abstracted from 1980 through 2015. RESULTS The PubMed search yielded 65 articles with 153 patients (mean age 44.7 years; range 14–85 years) who underwent anterior spinal surgery and sustained esophageal perforation, either during surgery or in a delayed fashion. The most common indications for initial anterior cervical spine surgery in these cases were vertebral fracture/dislocation (n = 77), spondylotic myelopathy (n = 15), and nucleus pulposus herniation (n = 10). The most commonly involved spinal levels were C5–6 (n = 51) and C6–7 (n = 39). The most common presenting symptoms included dysphagia (n =63), fever (n = 24), neck swelling (n = 23), and wound leakage (n = 18). The etiology of esophageal perforation included hardware failure (n = 31), hardware erosion (n = 23), and intraoperative injury (n = 14). The imaging modalities used to identify the esophageal perforations included modified contrast dye swallow studies, CT, endoscopy, plain radiography, and MRI. Esophageal repair was most commonly achieved using a modified muscle flap, as well as with primary closure. Outcomes measured in the literature were often defined by the time to oral intake following esophageal repair. Complications included pneumonia (n = 6), mediastinitis (n = 4), osteomyelitis (n = 3), sepsis (n = 3), acute respiratory distress syndrome (n = 2), and recurrent laryngeal nerve damage (n = 1). The mortality rate of esophageal perforation in the analysis was 3.92% (6 of 153 reported patients). CONCLUSIONS Esophageal perforation after anterior cervical spine surgery is a rare complication. This systematic review demonstrates that these perforations can be stratified into 3 categories based on the timing of symptomatic onset: intraoperative, early postoperative (within 30 days of anterior spinal surgery), and delayed. The most common source of esophageal injury is hardware erosion or migration, each of which may vary in their time to symptomatic manifestation.

scholarly journals Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature

2017 ◽  
Vol 7 (1_suppl) ◽  
pp. 28S-36S ◽  
Author(s):  
Stuart H. Hershman ◽  
William A. Kunkle ◽  
Michael P. Kelly ◽  
Jacob M. Buchowski ◽  
Wilson Z. Ray ◽  
...  
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Review Of The Literature ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

scholarly journals Esophageal Perforation Due to Revision of Anterior Cervical Spine Surgery

2010 ◽  
Vol 7 (2) ◽  
Author(s):  
Serdar Kabataş ◽  
Cem Yılmaz ◽  
Salih Gülsen ◽  
İlker Coven ◽  
Hakan Caner
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

scholarly journals Esophageal Perforation after Anterior Cervical Spine Surgery

2019 ◽  
Vol 13 (6) ◽  
pp. 976-983 ◽  
Author(s):  
Sang-Bong Ko ◽  
Jong-Beom Park ◽  
Kyung-Jin Song ◽  
Dong-Ho Lee ◽  
Seong-Wan Kim ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

Management of a late esophageal perforation secondary to an anterior cervical spine surgery

2019 ◽  
Vol 62 (1) ◽  
pp. 27-32
Author(s):  
Iván Calvo Vázquez ◽  
◽  
Selene Artemisa Santander Flores ◽  
Paloma González Villegas ◽  
Baudelio Rodríguez Rodríguez ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery

Intraoperative Computed Tomography in Cervical Spine Surgery

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
W. Steudel ◽  
K. Shariat ◽  
T. Pitzen ◽  
A. Nabhan
Keyword(s):  
Computed Tomography ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Cervical Spine Surgery ◽  
Intraoperative Computed Tomography

scholarly journals Pharyngo-Esophageal Perforation Following Anterior Cervical Spine Surgery: A Single Center Experience and a Systematic Review of the Literature

2021 ◽  
pp. 219256822110057
Author(s):  
Lucia Moletta ◽  
Elisa Sefora Pierobon ◽  
Renato Salvador ◽  
Francesco Volpin ◽  
Francesco Massimiliano Finocchiaro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
English Literature ◽  
Case Series ◽  
Review Of The Literature ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery ◽  
Fixation Devices

Study Design: Case series and systematic review of the Literature. Objectives: Pharyngo-esophageal perforation (PEP) is a rare, life-threatening complication of anterior cervical spine surgery (ACSS). Best management of these patients remains poorly defined. The aim of this study is to present our experience with this entity and to perform a systematic Literature review to better clarify the appropriate treatment of these patients. Methods: Patients referred to our center for PEP following ACSS (January 2002-December 2018) were identified from our database. Moreover, an extensive review of the English Literature was conducted according to the 2009 PRISMA guidelines. Results: Twelve patients were referred to our Institution for PEP following ACSS. Indications for ACSS were trauma (n = 10), vertebral metastases (n = 1) and disc herniation (n = 1). All patients underwent hardware placement at the time of ACSS. There were 6 early and 6 delayed PEP. Surgical treatment was performed in 11 patients with total or partial removal of spine fixation devices, autologous bone graft insertion or plate/cage replacement, anatomical suture of the fistula and suture line reinforcement with myoplasty. Complete resolution of PEP was observed in 6 patients. Five patients experienced PEP persistence, requiring further surgical management in 2 cases. At a median follow-up of 18.8 months, all patients exhibited permanent resolution of the perforation. Conclusions: PEP following ACSS is a rare but dreadful complication. Partial or total removal of the fixation devices, direct suture of the esophageal defect and coverage with tissue flaps seems to be an effective surgical approach in these patients

Regional bone mineral density differences measured by quantitative computed tomography in patients undergoing anterior cervical spine surgery

2020 ◽  
Vol 20 (7) ◽  
pp. 1056-1064 ◽  
Author(s):  
Stephan N. Salzmann ◽  
Ichiro Okano ◽  
Courtney Ortiz Miller ◽  
Erika Chiapparelli ◽  
Marie-Jacqueline Reisener ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Mineral Density ◽  
Cervical Spine ◽  
Bone Mineral ◽  
Spine Surgery ◽  
Quantitative Computed Tomography ◽  
Mineral Density ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery ◽  
Regional Bone Mineral Density
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