+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Esophageal perforation following anterior cervical spine surgery



Esophageal perforation following anterior cervical spine surgery



Spine 14(10): 1051-1053



The authors surveyed the Cervical Spine Research Society to compile a series of esophageal perforations following anterior cervical spine surgery. Twenty-two cases were assembled. Six occurred at the time of surgery, 6 in the postoperative period, and 10 weeks to months later. Eight surgeries were because of fracture. Hardware was implicated in 25% of cases occurring after surgery. Diagnosis was confirmed most often by direct vision at reexploration or esophography. Treatment usually consisted of drainage, repair, and parenteral antibiotics; 2 cases were successfully treated by enteral feeding and antibiotics alone. There was one fatality, and all patients required prolonged hospitalization. Cervical fracture and the use of hardware may be associated with this complication. Clinical suspicion and esophography are important diagnostic tools. Drainage and parenteral antibiotics are recommended treatment.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 031286566

Download citation: RISBibTeXText

PMID: 2588052

DOI: 10.1097/00007632-198910000-00004


Related references

Esophageal perforation after anterior cervical spine surgery: a systematic review of the literature. Journal of Neurosurgery. Spine 25(3): 285-291, 2016

Recurrent esophageal perforation after anterior cervical spine surgery: case report. European Spine Journal 27(Suppl 3): 515-519, 2018

Management of Esophageal and Pharyngeal Perforation as Complications of Anterior Cervical Spine Surgery. World Neurosurgery 102: 275-283, 2017

Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature. Global Spine Journal 7(1 Suppl): 28s-36s, 2017

Delayed pharyngo-esophageal perforation: rare complication of anterior cervical spine surgery. Neurology India 51(4): 534-536, 2003

Successful repair of esophageal perforation after anterior cervical fusion for cervical spine fracture. Journal of Clinical Neuroscience 18(10): 1374-1380, 2011

Esophageal perforation more than 10 years after anterior cervical spine plating. Clinical Neurology and Neurosurgery 115(9): 1842-1844, 2013

Repair of esophageal perforation due to anterior cervical spine instrumentation. Laryngoscope 120(4): 739-742, 2010

Delayed esophageal perforation: a complication of anterior cervical spine fixation. Annals of Thoracic Surgery 80(1): 349, 2005

Esophageal perforation during surgery on the cervical spine. Neurosurgery 29(5): 766-768, 1991

Esophageal Perforation during Surgery on the Cervical Spine. Neurosurgery 29(5): 766-768, 1991

Perforation of the cervical esophagus and hypopharynx complicating surgery by an anterior approach to the cervical spine. Annales de Chirurgie 43(5): 343-347, 1989

Esophageal perforation following anterior cervical fixation of posttraumatic spine fracture--case report. Polski Merkuriusz Lekarski 26(155): 472-474, 2009

Successful management of cervical esophageal perforation after anterior cervical surgery. Annals of Thoracic Surgery 92(3): 1159-60; Author Reply 1160, 2011

Successful surgical management of a delayed pharyngo-esophageal perforation after anterior cervical spine plating. European Spine Journal 17(Suppl. 2): S280-S284, 2008