caa a22 4500 445833335 CHVBK 20180317145322.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-010-1579-3 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1579-3 Pharyngoesophageal diverticulum: a delayed complication of anterior cervical spine surgery [Elektronische Daten] [Haijun Tian, Wen Yuan, Jared Johnson, Huajiang Chen, Deyu Chen] Pharyngoesophageal diverticulum after anterior cervical spine surgery is a rarely reported but potentially life-threatening complication. A case report of pharyngoesophageal diverticulum 7years after anterior cervical spine surgery is presented. The patient suffered from dysphagia, odynophagia, recurrent fever, weight loss, and also an impressive bulging in the neck with swallowing. After careful examination and preparation, he underwent revision surgery via an open procedure, had the implants removed, pouch excised, and esophagus reconstructed reinforced by a sternohyoid muscle flap as well as an omohyoid muscle flap. The post-operative period was uneventful, and he experienced a satisfactory recovery. At last follow up, 2.5years post surgery, the patient remained symptom free. Upon review of the literature, only six such previous reports with seven cases were found. Diagnostic tools, possible mechanism, correlative factors and treatment are discussed. This patient was fortunate that although his symptoms developed long after the initial anterior cervical operation and the pouch grew impressively large almost perforating, he still recovered well. It again proves the necessity of long-term X-ray follow up, and also reminds the surgeons to be alert of the possibility of esophageal injury even when the esophageal symptoms are mild and occur long after the initial operation. Springer-Verlag, 2010 Pharyngoesophageal diverticulum nationallicence Anterior cervical spine surgery nationallicence Sternohyoid muscle flap nationallicence Omohyoid muscle flap nationallicence Complication nationallicence Tian Haijun Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, 200003, Shanghai, China aut Yuan Wen Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, 200003, Shanghai, China aut Johnson Jared Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California, MRL 2619, 675 Charles E Young Drive, 90095, Los Angeles, CA, USA aut Chen Huajiang Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, 200003, Shanghai, China aut Chen Deyu Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, 200003, Shanghai, China aut European Spine Journal Springer-Verlag 20(2011-07-01), 211-216 0940-6719 20<211 2011 20 586 https://doi.org/10.1007/s00586-010-1579-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1579-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tian Haijun Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, 200003, Shanghai, China aut NATIONALLICENCE 700 1- Yuan Wen Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, 200003, Shanghai, China aut NATIONALLICENCE 700 1- Johnson Jared Department of Orthopaedic Surgery, David Geffen School of Medicine at University of California, MRL 2619, 675 Charles E Young Drive, 90095, Los Angeles, CA, USA aut NATIONALLICENCE 700 1- Chen Huajiang Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, 200003, Shanghai, China aut NATIONALLICENCE 700 1- Chen Deyu Department of Orthopaedic Surgery, Changzheng Hospital, Second Military Medical University, 415 Fengyang Road, 200003, Shanghai, China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 211-216 0940-6719 20<211 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer