Journal
JOURNAL OF CLINICAL NEUROSCIENCE
Volume 8, Issue 5, Pages 464-468Publisher
ELSEVIER SCI LTD
DOI: 10.1054/jocn.2000.0826
Keywords
axis; cervical spine; fracture dislocation; anterior cervical approach; C2-C3 fusion; anterior cervical fixation device; pharyngeal perforation; extrusion of the cervical graft; dysphagia; morbidity
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Stabilisation of the fracture-dislocation of the cervical spine is achieved effectively by anterior or posterior or combined methods with attendant short and long term benefits, risks and complications associated with each procedure. Recently anterior methods have gained wider acceptance. A variety of preoperative and postoperative complications associated with anterior cervical fusion are well recognised. However, the delayed pharyngeal or oesophageal perforation is a rare, serious and life threatening complication of an anterior cervical internal fusion. The authors report a case of delayed pharyngeal perforation and spontaneous extrusion of the C2-C3 graft with its fixation device. After coughing out the entire gamet of the graft with the fixation pin, the patient was relieved of excruciating pain and dysphagia and had no significant morbidity thereafter over a 12-year follow up period. Relevant aspects are discussed with a review of the pertinent literature. (C) 2001 Harcourt Publishers Ltd.
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