Abstract
A case report of a 41-year-old man who had a delayed pharyngo-esophageal perforation without instrumentation failure 7 years after anterior cervical spine plating is presented and the literature on this issue is reviewed. This injury resulted from repetitive friction/traction between the retropharyngo-esophageal wall and the cervical plate construct leading to a pseudodiverticulum and perforation. Successful treatment of the perforation was obtained after surgical repair using a sternocleidomastoid muscle flap. This case stresses the necessity of careful long-term follow-up in patients with anterior cervical spine plating for early detection of possible perforation and the use of muscle flap as the treatment of choice during surgical repair.
MeSH terms
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Abscess / etiology
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Abscess / pathology
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Abscess / physiopathology
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Adult
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Bone Plates / adverse effects*
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Cervical Vertebrae / injuries
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Cervical Vertebrae / pathology
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Cervical Vertebrae / surgery*
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Cervicoplasty / methods
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Decompression, Surgical / adverse effects
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Deglutition Disorders / etiology
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Deglutition Disorders / pathology
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Deglutition Disorders / physiopathology
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Early Diagnosis
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Esophagus / injuries*
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Esophagus / pathology
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Esophagus / surgery
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Fistula / etiology
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Fistula / pathology
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Fistula / physiopathology
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Humans
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Male
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Neck Muscles / surgery
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Pharynx / injuries*
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Pharynx / pathology
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Pharynx / surgery
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Postoperative Complications / etiology*
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Postoperative Complications / pathology
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Postoperative Complications / physiopathology
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Reoperation
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Spinal Fractures / pathology
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Spinal Fractures / surgery
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Spinal Fusion / adverse effects*
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Spinal Fusion / instrumentation
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Spinal Fusion / methods
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Surgical Flaps
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Treatment Outcome