Delayed esophageal injury after corpectomy and fusion in a patient with cervical spondylodiscitis: a case report

Young Hwan Choi, Y. Pee, I. Jang
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Abstract

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.
椎体切除术融合后迟发性食管损伤1例颈椎病患者
我们报告一例迟发性食管术后损伤,患者因颈椎病行椎体切除术。患者为一名72岁的男性。他通过磁共振成像诊断为C5/6/7处脊椎椎间盘炎,C5/6/7处硬膜外脓肿,从C2到C7的后纵韧带骨化。对于手术治疗,在C5/6椎体切除术和椎间融合网笼,C3/4前钢板和后椎板切除术,C5/6/7/T1后路螺钉固定,以及C3/4颈椎前路椎间盘切除术和融合。2周后,Levin管引流管检出血,行胃镜检查。胃镜检查证实网眼笼暴露是因为食道受损。
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