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2022, Number 2

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Ortho-tips 2022; 18 (2)

Disphagia due to osteophytes in the cervical spine. Report of a case and bibliographic review

Bazán PL, Borri ÁE, Medina M, Ciccioli NM

Language: Spanish
References: 20
Page: 165-169
PDF size: 187.35 Kb.


ABSTRACT

The presence of osteophytes on the anterior wall of the spine can be due to several causes. The vast majority of the time they are asymptomatic or present clinically in the form of radiculopathy by compression of some root in the hole of conjunction or limitation of mobility. Anatomically the anterior wall of the cervical spine is separated from the posterior wall of the esophagus by a thin layer of connective tissue only. Very rarely the presence of bone outgrowths in this area is manifested with other symptoms such as dysphagia, dysphonia or sialorrhea. We present the case of a 66-year-old female patient who arrives at the consultation for presenting dysphagia associated with anterior cervical osteophytosis. Imaging studies with and without contrast were used, and after having tried the medical treatment of the pathology (non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids, along with modification of eating behavior, muscle relaxants and antibiotics), it was decided to perform surgical excision of osteophytes obtaining satisfactory results. Treatment guidelines for this type of pathology are still under discussion.


REFERENCES

  1. Ozgursoy OB, Salassa JR, Reimer R, Wharen RE, Deen HG. Anterior cervical osteophyte dysphagia: manofluorographic and functional outcomes after surgery. Head Neck. 2010; 32 (5): 588-593. Available in: https://doi.org/10.1002/hed.21226

  2. Solaroglu I, Okutan O, Karakus M, Saygili B, Beskonakli E. Dysphagia due to diffuse idiopathic skeletal hyperostosis of the cervical spine. Turk Neurosurg. 2008; 18 (4): 409-411.

  3. Fuerderer S, Eysel-Gosepath K, Schroder U, Delank KS, Eysel P. Retro-pharyngeal obstruction in association with osteophytes of the cervical spine. J Bone Joint Surg Br. 2004; 86 (6): 837-840. Available in: https://doi.org/10.1302/0301-620x.86b6.14933

  4. Kapetanakis S, Vasileiadis I, Papanas N, Goulimari R, Maltezos E. Can a giant cervical osteophyte cause dysphagia and airway obstruction? A case report. Wien Klin Wochenschr. 2011; 123 (9-10): 291-293. Available in: https://doi.org/10.1007/s00508-011-1564-9

  5. De Silva W, Kumara M, De Silva W. An unusual cause of cervical dysphagia. Sri Lanka Journal of Surgery, 2011; 28 (2): 25-26.

  6. Veerabhadraiah P, Rao V, Shankar R, Shivappa N, Kumar P, Nagaraj TM. Dysphagia caused by anterior cervical osteophyte: a rare entity revisited. Int J Head and Neck Surg. 2012; 3 (3): 168-171.

  7. Zhang C, Ruan D, He Q, Wen T, Yang P. Progressive dysphagia and neck pain due to diffuse idiopathic skeletal hyperostosis of the cervical spine: a case report and literature review. Clin Interv Aging. 2014; 9: 553-557. Available in: https://doi.org/10.2147/CIA.S60146

  8. Taguchi Y, Takashima S, Tanaka K. Ossification of the cervical anterior longitudinal ligament presenting dysphagia. Intern Med (Tokyo, Japan). 2011; 50 (3): 261. Available in: https://doi.org/10.2169/internalmedicine.50.4525

  9. Von der Hoeh NH, Voelker A, Jarvers JS, Gulow J, Heyde CE. Results after the surgical treatment of anterior cervical hyperostosis causing dysphagia. Eur Spine J. 2015; 24 Suppl 4: S489-93. Available in: https://doi.org/10.1007/s00586-014-3507-4

  10. Abbas M, Khan AQ, Siddiqui YS, Khan BR. Young adult and giant cervical exostosis. Saudi Med J. 2011; 32 (1): 80-82.

  11. Kolz JM, Alvi MA, Bhatti AR, Tomov MN, Bydon M, Sebastian AS, et al. Anterior cervical osteophyte resection for treatment of dysphagia. Global Spine J. 2021; 11 (4): 488-499. Available in: https://doi.org/10.1177/2192568220912706

  12. Chung YS, Zhang H, Ha Y, Park JY. Surgical outcomes of dysphagia provoked by diffuse idiopathic skeletal hyperostosis in the cervical spine. Yonsei Med J. 2020; 61 (4): 341-348. Available in: https://doi.org/10.3349/ymj.2020.61.4.341

  13. Lui Jonathan YC, Sayal P, Prezerakos G, Russo V, Choi D, Casey ATH. The surgical management of dysphagia secondary to diffuse idiopathic skeletal hyperostosis. Clin Neurol Neurosurg. 2018; 167: 36-42. Available in: https://doi.org/10.1016/j.clineuro.2018.02.010

  14. Dabrowski M, Sulewski A, Kaczmarczyk J, Kubaszewski L. Surgical treatment of diffuse idiopathic skeletal hyperostosis of cervical spine with dysphagia – Case report. Ann Med Surg (Lond). 2020; 57: 37-40. Available in: https://doi.org/10.1016/j.amsu.2020.07.009

  15. Yoshioka K, Murakami H, Demura S, Kato S, Yonezawa N, Takahashi N, et al. Surgical treatment for cervical diffuse idiopathic skeletal hyperostosis as a cause of dysphagia. Spine Surg Relat Res. 2018; 2 (3): 197-201. Available in: https://doi.org/10.22603/ssrr.2017-0045

  16. Hines K, Elmer N, Detweiler M, Fatema U, Gonzalez GA, Montenegro TS, et al. Combined anterior osteophytectomy and cricopharyngeal myotomy for treatment of DISH-associated dysphagia. Global Spine J. 2020; 2192568220967358. Available in: https://doi.org/10.1177/2192568220967358

  17. Scholz C, Naseri Y, Hohenhaus M, Hubbe U, Klingler JH. Long-term results after surgical treatment of diffuse idiopathic skeletal hyperostosis (DISH) causing dysphagia. J Clin Neurosci. 2019; 67: 151-155. Available in: https://doi.org/10.1016/j.jocn.2019.05.057

  18. Bunmaprasert T, Keeratiruangrong J, Sugandhavesa N, Riew KD, Liawrungrueang W. Surgical management of diffuse idiopathic skeletal hyperostosis (DISH) causing secondary dysphagia (Narrative review). J Orthop Surg (Hong Kong). 2021; 29 (3): 23094990211041783. Available in: https://doi.org/10.1177/23094990211041783

  19. Glinski AV, Takayanagi A, Elia C, Ishak B, Listmann M, Pierre CA, et al. Surgical treatment of ossifications of the cervical anterior longitudinal ligament: a retrospective cohort study. Global Spine J. 2021; 11 (5): 709-715. Available in: https://doi.org/10.1177/2192568220922195

  20. Hwang JS, Chough CK, Joo WI. Giant anterior cervical osteophyte leading to dysphagia. Korean J Spine. 2013; 10 (3): 200-202. Available in: https://doi.org/10.14245/kjs.2013.10.3.200




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