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[颈椎融合术致咽-椎瘘经棘突走向颈部皮肤——病例报告及文献复习]

[Pharyngo-vertebral fistula with transspinous course to the neck skin due to a cervical spondylodesis - case report and review of the literature].

作者信息

Ulmar B, Baron C, Kaps H-P, Weise K, Badke A

机构信息

Klinik für Unfall- und Wiederherstellungschirurgie der Eberhard-Karls-Universität Tübingen, Berufsgenossenschaftliche , Unfallklinik Tübingen.

出版信息

Z Orthop Unfall. 2009 Mar-Apr;147(2):215-9. doi: 10.1055/s-0029-1185410. Epub 2009 Apr 8.

Abstract

BACKGROUND

Pharyngo-vertebral fistulas - especially with delayed diagnosis - are a rare but grave reported complication in cervical spine surgery.

PATIENTS AND METHODS

We present a patient, sent postoperatively from Italy after cervical spine surgery to our department. The patient has developed a pharyngo-vertebral fistula with transspinous course to the dorsal neck skin due to infected spondylodesis.

CASE REPORT

In the presented patient, the successful closure of the pharyngo-vertebral fistula with transspinous course was made after diverse revisions at the anterior side with a platysma flap, at the posterior one with a drain.

REVIEW OF THE LITERATURE

Aetiology, diagnostic work-up and treatment opinions are discussed in a detailed literature review.

CONCLUSION

To the best of the authors' knowledge the presented pharyngo-vertebral fistula with transspinous course to the dorsal neck skin as a complication after anterior cervical spine surgery has not been reported in the literature before.

摘要

背景

咽-椎体瘘——尤其是诊断延迟的情况——是颈椎手术中一种罕见但严重的并发症。

患者与方法

我们介绍一位患者,在意大利接受颈椎手术后被转送至我们科室。该患者因感染性椎体融合术形成了一条经棘突通向颈背部皮肤的咽-椎体瘘。

病例报告

在该患者中,通过在前侧使用颈阔肌皮瓣进行多次修复,在后侧放置引流管,成功闭合了经棘突的咽-椎体瘘。

文献综述

在详细的文献综述中讨论了病因、诊断检查及治疗观点。

结论

据作者所知,之前文献中尚未报道过颈椎前路手术后出现的经棘突通向颈背部皮肤的咽-椎体瘘这种并发症。

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