Anterior Cervical Osteophytes Causing Dysphagia and Dyspnea – Two Case Reports

Česká verze

Authors: M. Starý; P. Tuček
Authors place of work: Neurochirurgické oddělení, Městská nemocnice Ostrava
Published in the journal: Cesk Slov Neurol N 2016; 79/112(6): 719-722
Category: Kazuistika

Summary

Cervical spondylotic radiculopathy and myelopathy are not the only indications of anterior cervical spine approach. In this case report, we present two patients with swallowing and breathing disorders. Conservative treatment failure and progression of symptoms led to surgical treatment. We performed osteophytes abrasion without interbody fusion with no complications. Both patients had complete symptom regression. After a short follow-up of 12 months, the effect continues to be satisfactory. Symptomatic anterior cervical osteophytes are very rare, only case reports occur in the literature. However, we emphasize that there is a need to consider this issue in differential diagnosis of dyspnoea and dysphagia. In this paper, we also present an overview of publications on cervical spondylosis complications, with focus on surgical therapy.

Key words:
anterior cervical osteophytes – dysphagia – dyspnea

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Zdroje

1. Seo JW, Park JW, Jang JC, et al. Anterior cervical osteophytes causing dysphagia and paradoxical vocal cord motion leading to dyspnea and dysphonia. Ann Rehabil Med 2013;37(5):717– 20. doi: 10.5535/ arm.2013.37.5.717.

2. Song AR, Yang HS, Byun E, et al. Surgical treatments on patients with anterior cervical hyperostosis-derived dysphagia. Ann Rehabil Med 2012;36(5):729– 34. doi: 10.5535/ arm.2012.36.5.729.

3. Akhaddar A, Zalagh M. Dysphagia secondary to anterior cervical spine osteophytes. Pan Afr Med J 2014;17:36. doi: 10.11604/ pamj.2014.17.36.3843.

4. Hwang JS, Chough CK, Joo WI. Giant anterior cervical osteophyte leading to dysphagia. Korean J Spine 2013;10(3):200– 2. doi: 10.14245/ kjs.2013.10.3.200.

5. Varsak YK, Eryilmaz MA, Arbağ H. Dysphagia and airway obstruction due to large cervical osteophyte in a patient with ankylosing spondylitis. J Craniofac Surg 2014; 25(4):1402– 3. doi: 10.1097/ SCS.0000000000000933.

6. Albayrak I, Bağcaci S, Salli A, et al. A rare cause of dysphagia: compression of the esophagus by an anterior cervical osteophyte due to ankylosing spondylitis. Korean J Intern Med 2013;28(5):614– 8. doi: 10.3904/ kjim.2013.28.5.614.

7. von der Hoeh NH, Voelker A, Jarvers JS, et al. Results after the surgical treatment of anterior cervical hyperostosis causing dysphagia. Eur Spine J 2015;24(Suppl 4):S489– 93. doi: 10.1007/ s00586-014-3507-4.

8. Mosher HP. Exostoses of the cervical vertebrae as a cause for difficulty in swallowing. Laryngoscope 1926;36:181– 2.

9. Najib J, Goutagny S, Peyre M, et al. M. Forestier‘s disease presenting with dysphagia and disphonia. Pan Afr Med J 2014;17:168. doi: 10.11604/ pamj.2014.17.168.2453.

10. Štětkářová I, Chrobok J. Polykací obtíže u difuzní idiopatické kostní hyperostózy. Cesk Slov Neurol N 2007;70/ 103(4):435– 40.

11. Urrutia J, Bono CM. Long-term results of surgical treatment of dysphagia secondary to cervical diffuse idiopathic skeletal hyperostosis. Spine J 2009;9(9):e13– 7. doi: 10.1016/ j.spinee.2009.04.006.

12. Miyamoto K, Sugiyama S, Hosoe H, et al. Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis. Eur Spine J 2009;18(11):1652– 8. doi: 10.1007/ s00586-009-1133-3.