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Osteoradionecrosis in Subaxial Cervical Spine - a Rare and Devastating Complication: A Case Report
M Z Rashid1, M H Ariffin1, S A Rhani1
1Department of Orthopaedics, Universiti Kebangsaan Malaysia, Cheras, Malaysia.
Abstract:
Osteoradionecrosis, a rare complication of radiation therapy, is a slow progression disease which affects the surrounding structures of spinal components. It essentially weakens the soft tissue and bony configuration and can cause nerve impingement or cord compression. We describe a patient who underwent radiotherapy for thyroid cancer and presented with cervical kyphosis with anterolisthesis of C3/C4 and C4/C5 some 32 years later. We explore the role of anterior and posterior fusion, as well as hyperbaric oxygen therapy in promoting healing.
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