| Cervical screw missing secondary to delayed esophageal fistula: case report. | |
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MedLine Citation:
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PMID: 19847769 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although anterior surgical approaches to the cervical spine have become popular and safe in recent years, they also have some complications. We present a case of loss of an anterior cervical plate screw by the natural tracts. The patient was a 47- year-old woman who was operated on for cervical spondylotic myelopathy at another institution. Surgical interference included two levels of anterior discectomy, iliac graft placement and fixation using plate and screws. Two years later, plate dislocation and partial migration of the upper screws were observed. After 7 years the patient complained of dysphagia and she accepted removal of the osteosynthesis. Radiographical examination showed that one of the upper screws was missing and two lower screws were broken. Esophageal perforation was found during the surgery and repaired. Further progress was favourable. Complications associated with esophageal perforation may range from massive infection and death to spontaneous recovery. Erosion of the esophageal wall due to extruded bulky constructs may lead to a persistent fistula, abscess or septic diffusion. Spontaneous perforation of the esophagus and screw loss via the gastrointestinal tract make this case interesting.. |
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Authors:
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Sedat Cagli; H Serdar Isik; Mehmet Zileli |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Turkish neurosurgery Volume: 19 ISSN: 1019-5149 ISO Abbreviation: Turk Neurosurg Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-22 Completed Date: 2010-02-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9423821 Medline TA: Turk Neurosurg Country: Turkey |
Other Details:
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Languages: eng Pagination: 437-40 Citation Subset: IM |
Affiliation:
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Ege University, Department of Neurosurgery, Izmir, Turkey. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Bone Plates
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adverse effects Bone Screws / adverse effects Cervical Vertebrae / radiography, surgery Diskectomy Esophageal Fistula / etiology*, radiography Female Foreign-Body Migration / complications*, radiography Humans Middle Aged Postoperative Complications / etiology*, radiography Spinal Fusion / adverse effects* Spondylosis / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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