Oesophageal perforation by an anterior cervical fixation device: management in debilitated patients.
Oesophageal perforation following anterior cervical fixation has been reported in the neurosurgical and orthopaedic literature as a rare complication of such procedure. The complications associated with oesophageal perforation may range from minor symptoms to mediastinitis and death. We report two oesophageal perforations following cervical fixation device migration in patients with poor prognosis, managed successfully with conservative surgical and endoscopic techniques.
De Moor
V
V
Department of Digestive Surgery, Erasme Hospital, ULB, Brussels, Belgium.
De Witte
O
O
Zalcman
M
M
Gelin
M
M
Le Moine
O
O
El Nakadi
I
I
D001860:Bone Plates / Q000009:adverse effects*; D002574:Cervical Vertebrae / Q000293:injuries / Q000601:surgery*; D004939:Esophageal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004945:Esophagoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D005773:Gastroscopy / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011859:Radiography; D018570:Risk Assessment; D012720:Severity of Illness Index; D016103:Spinal Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome