Hershman Stuart H, Kunkle William A, Kelly Michael P, Buchowski Jacob M, Ray Wilson Z, Bumpass David B, Gum Jeffrey L, Peters Colleen M, Singhatanadgige Weerasak, Kim Jin Young, Smith Zachary A, Hsu Wellington K, Nassr Ahmad, Currier Bradford L, Rahman Ra'Kerry K, Isaacs Robert E, Smith Justin S, Shaffrey Christopher, Thompson Sara E, Wang Jeffrey C, Lord Elizabeth L, Buser Zorica, Arnold Paul M, Fehlings Michael G, Mroz Thomas E, Riew K Daniel
Florida Spine Specialists, Fort Lauderdale, FL, USA.
Broward Health Medical Center, Fort Lauderdale, FL, USA.
Global Spine J. 2017 Apr;7(1 Suppl):28S-36S. doi: 10.1177/2192568216687535. Epub 2017 Apr 1.
Multicenter retrospective case series and review of the literature.
To determine the rate of esophageal perforations following anterior cervical spine surgery.
As part of an AOSpine series on rare complications, a retrospective cohort study was conducted among 21 high-volume surgical centers to identify esophageal perforations following anterior cervical spine surgery. Staff at each center abstracted data from patients' charts and created case report forms for each event identified. Case report forms were then sent to the AOSpine North America Clinical Research Network Methodological Core for data processing and analysis.
The records of 9591 patients who underwent anterior cervical spine surgery were reviewed. Two (0.02%) were found to have esophageal perforations following anterior cervical spine surgery. Both cases were detected and treated in the acute postoperative period. One patient was successfully treated with primary repair and debridement. One patient underwent multiple debridement attempts and expired.
Esophageal perforation following anterior cervical spine surgery is a relatively rare occurrence. Prompt recognition and treatment of these injuries is critical to minimizing morbidity and mortality.
多中心回顾性病例系列研究及文献综述。
确定颈椎前路手术后食管穿孔的发生率。
作为AOSpine关于罕见并发症系列研究的一部分，在21个高手术量的外科中心进行了一项回顾性队列研究，以确定颈椎前路手术后的食管穿孔情况。每个中心的工作人员从患者病历中提取数据，并为每个识别出的事件创建病例报告表。然后将病例报告表发送至AOSpine北美临床研究网络方法学核心部门进行数据处理和分析。
对9591例行颈椎前路手术患者的记录进行了回顾。发现2例（0.02%）在颈椎前路手术后发生食管穿孔。两例均在术后急性期被发现并接受治疗。1例患者通过一期修复和清创成功治疗。1例患者多次尝试清创但死亡。
颈椎前路手术后食管穿孔相对少见。对这些损伤的及时识别和治疗对于将发病率和死亡率降至最低至关重要。
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