Joanes Vicente, Belinchón Jose
Department of Neurosurgery, General Hospital, Castellón, Valencia, Spain.
J Neurosurg Spine. 2008 Sep;9(3):258-60. doi: 10.3171/SPI/2008/9/9/258.
This case of a pharyngoesophageal diverticulum was diagnosed 3 years after a corpectomy and fusion for a cervical fracture. The diverticulum was excised, the plate and screws were removed, and the patient was asymptomatic 3 years later. The dense scar tissue around the hardware probably caused traction on the posterior pharyngoesophageal region, followed by development of the diverticulum. The authors speculate that the malpositioning of the hardware was an irritative factor promoting such a scar. To the best of their knowledge, this is the first reported case of pharyngoesophageal diverticulum following cervical corpectomy and plating.
该例咽食管憩室在颈椎骨折行椎体次全切除融合术后3年被诊断出来。憩室被切除,钢板和螺钉被取出,3年后患者无症状。内固定周围致密的瘢痕组织可能导致咽食管后部区域受到牵拉,继而形成憩室。作者推测内固定位置不当是促使形成此类瘢痕的刺激因素。据他们所知,这是首例报道的颈椎椎体次全切除及钢板固定术后发生咽食管憩室的病例。