title: Acute cervical epidural hematoma, screw pullout, and esophageal perforation after anterior cervical corpectomy surgery: report of a case.
abstract: To report a series of complications related to anterior cervical surgery in the same patient. There have been many reports of complications related to anterior cervical surgeries. These include cervical hematoma, instrumentation extrusion, or esophageal injury after anterior cervical decompression. However, there have been no reports of all these complications occurring in 1 patient. This is our report of a patient who experienced all 3 of these complications. The patient was a 73-year-old man suffering from cervical spondylotic myelopathy who was treated with C5 anterior cervical corpectomy and fusion with titanium mesh and bone graft. The patient successively experienced cervical hematoma, screw pullout, and esophageal perforation, and was treated accordingly. Although the patient suffered a series of complications after anterior cervical corpectomy, all the complications were treated successfully. It serves as a caution that a first complication such as hematoma in anterior cervical corpectomy with fusion should be given enough attention to prevent further complications.
authors.affiliation: Department of Spine Surgery, First Hospital of Jilin University, Changchun, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Li
authors.forename: Qing-San
authors.initials: QS
authors.lastname: Zhu
authors.forename: Jing-Chen
authors.initials: JC
authors.lastname: Liu
authors.forename: Yun-Tao
authors.initials: YT
authors.lastname: Wu
mesh_terms: D000208:Acute Disease; D000368:Aged; D066193:Cervical Cord / Q000601:surgery*; D004939:Esophageal Perforation / Q000209:etiology*; D046748:Hematoma, Epidural, Spinal / Q000209:etiology*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011475:Prosthesis Failure / Q000009:adverse effects
keywords: Anterior cervical corpectomy; Cervical spine; Esophageal perforation; Hematoma; Screw pullout