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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.


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