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Related Experiment Videos

[Dysphagia and cervical bony spurs].

J F Mineo1, H Person, P Dam Hieu

  • 1Service de Neurochirurgie, CHU La Cavale Blanche, 29609 Brest Cedex.

Neuro-Chirurgie
|June 16, 2001
PubMed
Summary

A cervical osteophyte caused severe swallowing difficulty (dysphagia). Surgical removal provided immediate relief, highlighting the importance of addressing bony spurs in the cervical spine for functional recovery.

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Area of Science:

  • Neurology
  • Orthopedic Surgery
  • Gastroenterology

Background:

  • Degenerative cervical osteophytes can cause significant dysphagia by compressing the esophagus.
  • Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a common cause of such spurs, distinct from degenerative disc disease.

Observation:

  • A 74-year-old male presented with acute, complete dysphagia attributed to a C4-C5 degenerative osteophyte causing esophageal compression.
  • Surgical excision of the osteophyte was performed using an anterior cervical approach.

Findings:

  • Immediate functional improvement in swallowing was observed post-surgery.
  • The case highlights the efficacy of surgical intervention for osteophyte-induced dysphagia when conservative measures fail.

Implications:

  • Surgical management, specifically osteophyte removal, is crucial for complete dysphagia caused by cervical osteophytes.
  • Distinguishing between DISH and degenerative disc disease is important for surgical planning, with discetomy-graft for degenerative lesions and spur removal for DISH.

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