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[Vertebragenic dysphagia].

H Grasshoff1, C Motsch, K Mahlfeld

  • 1Orthopädische Universitätsklinik, Otto-von-Guericke-Universität Magdeburg.

Zentralblatt Fur Chirurgie
|December 28, 1999
PubMed
Summary
This summary is machine-generated.

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Anterior hyperostosis of the cervical spine can cause rare but serious dysphagia. Surgical intervention, using specific approaches, effectively resolves symptoms and improves function.

Area of Science:

  • Spine Surgery
  • Otolaryngology
  • Orthopedics

Background:

  • Dysphagia, or difficulty swallowing, can rarely be caused by external compression from anterior hyperostosis of the cervical spine.
  • Diagnosis involves imaging techniques like X-ray, CT, and MRI.

Observation:

  • Two surgical cases are presented: one with an exostosis on the axis and another with anterior osteophytes from C3 to C7 due to Forestier's disease.
  • Both patients experienced complete symptom resolution post-operatively.

Findings:

  • Anterior hyperostosis of the cervical spine causing painful dysphagia is a valid indication for surgical treatment.
  • Preferred surgical approaches include the anterolateral extrapharyngeal route (C3-C7) and the transoral intrapharyngeal route (C2).

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Implications:

  • Surgical treatment, when performed collaboratively by orthopedics and ENT specialists, yields good functional outcomes with minimal complications.
  • This approach offers an effective solution for dysphagia stemming from cervical spine hyperostosis.