Witwer Brian P, Resnick Daniel K
Department of Neurological Surgery, University of Wisconsin Hospitals and Clinics, 600 E. Highland Avenue, Madison, WI 53792, USA.
J Spinal Disord Tech. 2003 Dec;16(6):519-23. doi: 10.1097/00024720-200312000-00006.
The authors describe a case of a 67-year-old man who presented with a delayed esophageal perforation 4 years after anterior cervical spine surgery for spondylotic myelopathy. Diagnosis was made with esophagoscopic visualization of the lesion and repair performed with hardware removal and esophageal closure utilizing a sternocleidomastoid muscle flap. The pertinent literature is reviewed and the therapeutic implications discussed.
作者描述了一例67岁男性患者,该患者因脊髓型颈椎病行颈椎前路手术后4年出现迟发性食管穿孔。通过食管镜检查病变部位进行诊断,并通过移除固定装置及利用胸锁乳突肌瓣进行食管闭合来完成修复。本文回顾了相关文献并讨论了其治疗意义。