Varsak Yasin Kürşad, Eryilmaz Mehmet Akif, Arbağ Hamdi
From the Department of Otorhinolaryngology, Head and Neck Surgery, Meram Medical Faculty, Necmettin Erbakan University, Meram, Konya, Turkey.
J Craniofac Surg. 2014 Jul;25(4):1402-3. doi: 10.1097/SCS.0000000000000933.
Anterior cervical osteophytes are excessive bony formation of cervical vertebra bodies. They are common but rarely symptomatic lesions mostly seen in geriatric population. Large anterior cervical osteophytes may cause symptoms such as dysphagia, dyspnea, dysphonia, and odynophagia. They have been attributed to multiple etiologies including diffuse idiopathic skeletal hyperostosis, following trauma, cervical spondylitis, and infectious spondylitis. However, symptomatic large anterior cervical osteophyte with ankylosing spondylitis is extremely rare. Surgical excision is the main treatment for symptomatic cases. We report a case of a 53-year-old man with airway obstruction and dysphagia due to large cervical osteophyte who has a history of ankylosing spondylitis, and we also addressed the etiological factors and management of large symptomatic cervical osteophytes.
颈椎前缘骨赘是椎体的过度骨质形成。它们很常见，但大多为无症状病变，多见于老年人群。大型颈椎前缘骨赘可能导致吞咽困难、呼吸困难、声音嘶哑和吞咽疼痛等症状。其病因多种多样，包括弥漫性特发性骨肥厚、外伤后、颈椎病和感染性脊柱炎。然而，伴有强直性脊柱炎的有症状大型颈椎前缘骨赘极为罕见。手术切除是有症状病例的主要治疗方法。我们报告一例53岁男性，因大型颈椎骨赘导致气道阻塞和吞咽困难，该患者有强直性脊柱炎病史，我们还探讨了大型有症状颈椎骨赘的病因及治疗。
