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Revista colombiana de Gastroenterología
Print version ISSN 0120-9957On-line version ISSN 2500-7440
Abstract
BAUTISTA-PARADA, Ileana Rocío; ROJAS-ESPINOSA, Ángel; SANCHEZ-GIL, Andrés and ANGEL-PINZON, Alberto. Delayed Esophageal Perforation after Anterior Cervical Spine Fixation: Case Report and Literature Review. Rev. colomb. Gastroenterol. [online]. 2024, vol.39, n.1, pp.81-84. Epub May 16, 2024. ISSN 0120-9957. https://doi.org/10.22516/25007440.1025.
The anterior approach to cervical spine surgery can cause esophageal injuries; however, it is an infrequent complication with a 0.02-0.25% prevalence. It usually appears in two high-risk areas: Killian’s dehiscence and the thyrohyoid membrane. Delayed esophageal perforations typically occur due to chronic friction and usually have a benign course. Most cases of late migration occur in the first 18 months of the surgical procedure, and the clinical manifestation varies between asymptomatic patients in the case of delayed perforations and patients with dysphagia, subcutaneous emphysema, and sepsis in the case of acute perforations.
Keywords : Esophageal perforation; spine; cervical.