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KMID : 1099620130100030174
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Korean Journal of Spine
2013 Volume.10 No. 3 p.174 ~ p.176
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Delayed Esophageal Perforation after Cervical Spine Plating
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Kim Seong-Jung
Ju Chang-Il
Kim Dong-Min
Kim Seok-Won
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Abstract
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Although anterior approaches to the cervical spine are popular and safe, they cause some of complications. Esophageal perforation after anterior spinal fusion is a rare but potentially life-threatening complication. We present a rare case of delayed esophageal perforation caused by a cervical screw placed via the anterior approach. A 43-year-old man, who had undergone surgery for complete cord injury at another orthopedic department 8 years previously, was admitted to our institute due to painful neck swelling and dysphagia. Radiological studies revealed a protruding screw and esophageal perforation. The perforation was found during surgery and was successfully repaired. This case emphasizes the need for careful long-term follow-up to check for delayed esophageal perforation in patients that have undergone anterior cervical spine plating.
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KEYWORD
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Anterior cervical surgery, Esophageal perforation
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