KMID : 1150320220180020084
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Journal of Korean Society of Geriatric Neurosurgery 2022 Volume.18 No. 2 p.84 ~ p.87
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Delayed esophageal injury after corpectomy and fusion in a patient with cervical spondylodiscitis: a case report
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Choi Young-Hwan
Pee Yong-Hun Jang Il-Tae
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Abstract
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We report a delayed postoperative injury to the esophagus in a patient who underwent cervical corpectomy for spondylodiscitis. The patient was a 72-year-old man. He was diagnosed by magnetic resonance imaging with spondylodiscitis at C5/6/7, with an epidural abscess at C5/6/7, and ossification of the posterior longitudinal ligament from C2 to C7. For surgical treatment, corpectomy and interbody fusion with a mesh cage at C5/6, an anterior plate and posterior laminectomy at C3/4, posterior screw fixation at C5/6/7/T1, and anterior cervical discectomy and fusion at C3/4 were performed. After 2 weeks, blood was detected in the Levin tube drain and gastroscopy was performed. Gastroscopy confirmed that the mesh cage was exposed because of damage to the esophagus.
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KEYWORD
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Cervical vertebrae, Esophageal perforation, Discitis
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