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2026, Number 4

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Cir Columna 2026; 4 (4)

Dysphagia secondary to anterior cervical osteophytes: report of three cases and review of the literature

Velasco CJM, Otero N, Galli N, Traba N, Sapriza S, Rocchietti Á, Pereyra BL, García F

Language: Spanish
References: 23
Page: 301-307
PDF size: 2372.07 Kb.


ABSTRACT

Introduction: dysphagia secondary to anterior cervical osteophytes is an uncommon cause of swallowing impairment. Although cervical osteophytes are common in elderly patients and are usually asymptomatic, they may occasionally cause extrinsic esophageal compression, resulting in progressive dysphagia, respiratory symptoms, and decreased quality of life. Objective: to present a series of three cases of dysphagia caused by anterior cervical osteophytes treated surgically and to review the relevant literature regarding diagnosis and management. Material and methods: a retrospective descriptive study was conducted on three patients presenting with progressive dysphagia caused by anterior cervical osteophytes. Diagnosis was established through clinical evaluation and imaging studies, including plain radiographs, computed tomography, and magnetic resonance imaging. Selected cases also underwent videofluoroscopic swallowing studies and endoscopic evaluation. All patients were treated with surgical resection of the osteophytes through an anterior cervical approach. Results: all patients presented with long-standing progressive dysphagia, associated in some cases with respiratory symptoms. Imaging studies demonstrated prominent anterior cervical osteophytes causing esophageal compression. Surgical resection was successfully performed without major complications. All patients experienced significant clinical improvement, complete resolution of dysphagia, and favorable outcomes during follow-up, with no symptomatic recurrence. Conclusions: anterior cervical osteophytosis should be considered in the differential diagnosis of dysphagia in elderly patients. Accurate diagnosis requires appropriate clinical and imaging correlation. When conservative treatment fails, surgical resection is a safe and effective option for restoring swallowing function and improving associated symptoms.


REFERENCES

  1. Trashin AV, Vikherev NV, Belov EM, Shamanin VA, Stepanenko VV. Dysphagia as the main symptom in anterior cervical spine osteophytes (Forestier disease and cervical spondylosis deformans). Case reports and literature review. Zh Vopr Neirokhir Im N N Burdenko. 2024; 88: 69-76. doi: 10.17116/neiro20248802169.

  2. Te Hennepe N, Hosman AJF, Pouw MH. Dysphagia caused by osteophytes of the cervical spine. Ned Tijdschr Geneeskd. 2020; 164: D4278.

  3. Kaur J, Virk JS. Dysphagia due to DISH-related anterior osteophytes: DISHphagia!! BMJ Case Rep. 2017; 2017: bcr2017222512. doi: 10.1136/bcr-2017-222512.

  4. Gronfula A, Alsharif TH, Deif A, Fouda AA, Aboueleneein H. Anterior cervical huge osteophyte causing dysphagia: a case report. Cureus. 2023; 15: e37000. doi: 10.7759/cureus.37000.

  5. Aires MM, Fukumoto GM, Ribeiro SL, Haddad L, Alvarenga EHL. Dysphagia due to anterior cervical osteophytosis: case report. Codas. 2021; 34: e20200435. doi: 10.1590/2317-1782/20212020435.

  6. Kobayashi T, Lefor AK, Morimoto T. Hypertrophic anterior cervical osteophyte. Reumatol Clin (Engl Ed). 2021; 17: 552-553. doi: 10.1016/j.reumae.2020.09.005.

  7. Weglowski R, Piech P. Dysphagia as a symptom of anterior cervical hyperostosis - case report. Ann Agric Environ Med. 2020; 27: 314-316. doi: 10.26444/aaem/106115.

  8. Maciejczak A, Piatek P. Giant anterior cervical osteophytes as a rare cause of dysphagia and upper airway occlusion. Am J Med Sci. 2020; 360: 320-321. doi: 10.1016/j.amjms.2020.04.026.

  9. Srivastava SK, Bhosale SK, Lohiya TA, Aggarwal RA. Giant cervical osteophyte: an unusual cause of dysphagia. J Clin Diagn Res. 2016; 10: MD01-MD02. doi: 10.7860/JCDR/2016/20172.8722.

  10. Kissel P, Youmans JR. Post-traumatic anterior cervical osteophyte and dysphagia: surgical report and literature review. J Spinal Disord. 1992; 5: 104-107.

  11. Mosher HP. Exostoses of the cervical vertebrae as a cause for difficulty in swallowing. Laryngoscope. 1926; 36: 181-182. doi: 10.1288/00005537-192603000-00004.

  12. Shimizu M, Kobayashi T, Jimbo S, Senoo I, Ito H. Clinical evaluation of surgery for osteophyte-associated dysphagia using the functional outcome swallowing scale. PLoS One. 2018; 13: e0201559. doi: 10.1371/journal.pone.0201559.

  13. Gay I, Elidan J. Dysphonia caused by Forestier disease. Ann Otol Rhinol Laryngol. 2008; 97: 275-276.

  14. 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: 488-499. doi: 10.1177/2192568220912706.

  15. Damade C, Masse R, Ghailane S, Petit M, Castelain JE, Gille O, et al. Anterior cervical idiopathic hyperostosis and dysphagia: the impact of surgical management-study of a series of 11 cases. World Neurosurg. 2020; 138: e305-e310. doi: 10.1016/j.wneu.2020.02.097.

  16. Campos JJ, Faubel M, Artzkoz JJ, et al. Enfermedad de Forestier y Rotes Querol: una causa poco frecuente de disfonía. ORL-DIPS. 2003; 30: 96-99.

  17. Urrutia J, Bono CM. Long-term results of surgical treatment of dysphagia secondary to cervical diffuse idiopathic skeletal hyperostosis. Spine J. 2009; 9: e13-e17.

  18. Song AR, Yang HS, Byun E, Kim Y, Park KH, Kim KL. Surgical treatments on patients with anterior cervical hyperostosis-derived Dysphagia. Ann Rehabil Med. 2012; 36: 729-734.

  19. Silveri C, Velasco JM, Silveri A. Dysphagia produced by cervical spine osteophyte. A case report. Coluna/Columna. 2014; 13: 150-152. doi: 10.1590/S1808-18512014130200453.

  20. Gijón-Baños J, Muñoz-Fernández S. Hyperostose vertébrale ankylosante. Encyclopédie Médico-Chirurgicale (EMC) – Appareil locomoteur. Référence 15-861-A-10. Disponible en: https://www.em-consulte.com/article/8527/hyperostose-vertebrale-ankylosante

  21. Forestier J, Rotès-Quérol J. Hyperostose ankylosante vertébrale sénile. Rev Rheum Dis. 1950; 9: 321-330.

  22. Urzúa BR, Rahal EM. Hiperostosis esquelética idiopática difusa (DISH), respecto de dos casos. Rev Otorrinolaringol Cir Cabeza Cuello. 2012; 72: 267-272. doi: 10.4067/s0718-48162012000300009.

  23. Miyamoto K, Sugiyama S, Hosoe H, Iinuma N, Suzuki Y, Shimizu K. Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis. Eur Spine J. 2009; 18: 1652-1658.




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