Esophageal perforation following anterior cervical Spine surgery: Case report and review of the literature

Stuart H. Hershman, William A. Kunkle, Michael P. Kelly, Jacob M. Buchowski, Wilson Z. Ray, David B. Bumpass, Jeffrey L. Gum, Colleen M. Peters, Weerasak Singhatanadgige, Jin Young Kim, Zachary Adam Smith, Wellington K Hsu, Ahmad Nassr, Bradford L. Currier, Ra'Kerry K. Rahman, Robert E. Isaacs, Justin S. Smith, Christopher Shaffrey, Sara E. Thompson, Jeffrey C. WangElizabeth L. Lord, Zorica Buser, Paul M. Arnold, Michael G. Fehlings, Thomas E. Mroz, K. Daniel Riew*

*Corresponding author for this work

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

Study Design: Multicenter retrospective case series and review of the literature. Objective: To determine the rate of esophageal perforations following anterior cervical spine surgery. Methods: As part of an AOSpine series on rare complications, a retrospective cohort study was conducted among 21 high-volume surgical centers to identify esophageal perforations following anterior cervical spine surgery. Staff at each center abstracted data from patients' charts and created case report forms for each event identified. Case report forms were then sent to the AOSpine North America Clinical Research Network Methodological Core for data processing and analysis. Results: The records of 9591 patients who underwent anterior cervical spine surgery were reviewed. Two (0.02%) were found to have esophageal perforations following anterior cervical spine surgery. Both cases were detected and treated in the acute postoperative period. One patient was successfully treated with primary repair and debridement. One patient underwent multiple debridement attempts and expired. Conclusions: Esophageal perforation following anterior cervical spine surgery is a relatively rare occurrence. Prompt recognition and treatment of these injuries is critical to minimizing morbidity and mortality.

Original languageEnglish (US)
Pages (from-to)28S-36S
JournalGlobal Spine Journal
Volume7
Issue number1_suppl
DOIs
StatePublished - Apr 1 2017

Keywords

  • anterior
  • cervical
  • esophageal perforation
  • spine
  • surgery

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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    Hershman, S. H., Kunkle, W. A., Kelly, M. P., Buchowski, J. M., Ray, W. Z., Bumpass, D. B., Gum, J. L., Peters, C. M., Singhatanadgige, W., Kim, J. Y., Smith, Z. A., Hsu, W. K., Nassr, A., Currier, B. L., Rahman, RK. K., Isaacs, R. E., Smith, J. S., Shaffrey, C., Thompson, S. E., ... Riew, K. D. (2017). Esophageal perforation following anterior cervical Spine surgery: Case report and review of the literature. Global Spine Journal, 7(1_suppl), 28S-36S. https://doi.org/10.1177/2192568216687535