Salis G, Pittore B, Balata G, Bozzo C
Otorhinolaryngology Department, "P. Dettori Hospital," Tempio Pausania, Italy.
Case Rep Otolaryngol. 2013;2013:475285. doi: 10.1155/2013/475285. Epub 2013 Jun 9.
Anterior cervical spine fusion and stabilization with plating are well-established surgical procedures for the treatment of myelopathy, cervical spine traumas, and spinal infectious diseases. Various complications have been described in the literature, more frequently, intraoperative bleeding, peri- or postoperative hypopharyngeal, and/or esophageal ruptures with mediastinal deep infection and loosening and extrusion of the screws from the plating. Screw migration has also been observed as a complication of the procedure, either early in the postoperative period or delayed, even after many years. In some instances, the esophageal perforation can recover spontaneously with absence of complications, even if a case of plate failure and graft migration with lethal sudden airways obstruction has been reported. We describe a case of hypopharyngeal screw migration after cervical spine stabilization with plating never described before in the literature.
颈椎前路融合及钢板内固定术是治疗脊髓病、颈椎创伤和脊柱感染性疾病的成熟外科手术。文献中描述了各种并发症，更常见的是术中出血、围手术期或术后下咽及/或食管破裂伴纵隔深部感染以及螺钉从钢板松动和脱出。螺钉移位也被视为该手术的并发症，可在术后早期或延迟出现，甚至在多年后发生。在某些情况下，食管穿孔可自发恢复且无并发症，尽管曾有一例钢板失效和植骨移位导致致命性气道梗阻的报道。我们描述了一例颈椎前路钢板内固定术后下咽螺钉移位的病例，这在文献中此前未曾有过描述。
