title: [Transoral metal implant removal after ventral C2/C3 spondylodesis in pharyngo-vertebral fistula].
abstract: A 26-year-old man sustained a C2 arc fracture. Ventral spondylodesis using an H-plate was performed. The patient developed a pharyngovertebral fistula which remained undetected for 1 year. Spontaneous fusion of C3/C4 and osteolysis of the cortical block occurred. The fistula was demonstrated intraoperatively and the implant was transorally removed. No further problems occurred after this unusual method of treatment. The anatomy of the cervical spine, special problems of intensive care patients and the use of proper instrumentation are discussed.
authors.affiliation: Abteilung für Unfall- und Wiederherstellungschirurgie Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
authors.forename: R
authors.initials: R
authors.lastname: Feeser
authors.forename: D
authors.initials: D
authors.lastname: Wolter
authors.forename: E
authors.initials: E
authors.lastname: Biermann
mesh_terms: D000328:Adult; D001858:Bone Nails; D001860:Bone Plates; D002574:Cervical Vertebrae; D005402:Fistula / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D010608:Pharyngeal Diseases / Q000601:surgery*; D010614:Pharynx / Q000293:injuries* / Q000601:surgery; D011859:Radiography; D013122:Spinal Diseases / Q000601:surgery*; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Die transorale metallentfernung nach ventraler spondylodese c2/c3 bei pharyngovertebraler fistel.