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Ann Thorac Surg 2005;80:349
© 2005 The Society of Thoracic Surgeons

Images in cardiothoracic surgery

Delayed Esophageal Perforation: A Complication of Anterior Cervical Spine Fixation

Anastasios K. Konstantakos, MD, R. Thomas Temes, MD*

Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation at MetroHealth Medical Center and Case Western Reserve University, Cleveland, Ohio

* Address reprint requests to Dr Temes, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation at MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH44109 (Email: temest@ccf.org).

The first 20% of the full text of this article appears below.

A 58-year-old human was involved in a motor vehicle accident and sustained a cervical spine fracture resulting in tetraplegia. One month after initial treatment with a halo vest, open reduction of a C5–6 subluxation, corpectomy of C6, fusion of C5–7 with iliac crest bone, and anterior plating were performed. Postoperatively, he required prolonged mechanical ventilation necessitating a tracheostomy. Mechanical ventilation was successfully discontinued and his tracheostomy was removed 9 weeks after insertion. A percutaneous gastrostomy was placed due to his persistent dysphagia; esophagoscopy during this procedure was normal.

Nine months after his accident, dislodgement of the anterior plate and resorption of . . . [Full Text of this Article]




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Management of Cervical Esophageal Injury After Spinal Surgery
Ann. Thorac. Surg., October 1, 2010; 90(4): 1128 - 1133.
[Abstract] [Full Text] [PDF]


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