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Updated: Oct 25, 2025

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Delayed Anterior Cervical Screw Migration Causing Swallowing Difficulty.

Timothy Maurer1, Robert Maurer2, George T Reiter2

  • 1Osteopathy, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.

Cureus
|August 9, 2021
PubMed
Summary
This summary is machine-generated.

A rare complication of anterior cervical discectomy and fusion is delayed screw migration, causing swallowing difficulties. This case highlights the importance of considering unusual presentations in cervical spine surgery.

Keywords:
acdfcervicaldysphagiahardware failurespine

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Disorders

Background:

  • Anterior cervical discectomy and fusion is a common procedure for cervical disc disease.
  • Potential complications include hoarseness, dysphagia, pseudoarthrosis, adjacent segment disease, and hardware failure.

Observation:

  • This case report details a unique complication: delayed migration of an anterior cervical screw.
  • The screw migration resulted in the patient experiencing swallowing difficulties (dysphagia).

Findings:

  • Delayed screw migration is an uncommon but significant complication following anterior cervical spine surgery.
  • This complication can lead to delayed onset of symptoms such as dysphagia.

Implications:

  • Surgeons should be aware of the possibility of delayed screw migration after anterior cervical discectomy and fusion.
  • Prompt diagnosis and management are crucial for patients presenting with delayed dysphagia post-surgery.
  • This case underscores the importance of considering patient autonomy in surgical decision-making and complication management.