Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, China.
West China School of Nursing, Sichuan University, Chengdu, China.
Orthop Surg. 2022 Oct;14(10):2782-2787. doi: 10.1111/os.13398. Epub 2022 Aug 4.
Esophageal cervical spondylosis is a rare type of cervical spondylosis which causes dysphagia. Surgical osteophyte resection is taken when conservative treatment does not respond. However, few reports on its operation and postoperative follow-up. We first present a case showing how the Zero-Profile implant system is utilized to treat dysphagia caused by noncontiguous anterior cervical osteophytes.
A patient with progressive dysphagia was referred to our department. Imaging examinations revealed a large diffuse idiopathic skeletal hyperostosis (DISH) related anterior osteophyte in C3/4, C6/7 and ossification of the anterior and posterior longitudinal ligaments. Anterior cervical osteophytectomy, discectomy, and fusion were performed on C3/4, C6/7. Two Zero-Profile implants were implanted. Postoperative dysphagia was significantly improved, and the patient was free to swallow large pills or solid foods at nine-years follow-up.
Osteophyte excision can effectively treat esophageal cervical spondylosis, This case shows that fusion using the Zero-Profile implant system is a viable option for patients with potential cervical instability following osteophyte resection.
食管型颈椎病是一种罕见的颈椎病，可引起吞咽困难。当保守治疗无效时，可进行外科骨赘切除术。然而，关于其手术和术后随访的报道很少。我们首次报告了一例使用 Zero-Profile 植入系统治疗非连续前颈椎骨赘引起的吞咽困难的病例。
一名进行性吞咽困难的患者被转至我科。影像学检查显示 C3/4、C6/7 处存在较大弥漫性特发性骨肥厚（DISH）相关前骨赘和前、后纵韧带骨化。在 C3/4、C6/7 进行了前路颈椎骨赘切除术、椎间盘切除术和融合术。植入了两个 Zero-Profile 植入物。术后吞咽困难明显改善，随访 9 年时患者可自由吞咽大药片或固体食物。
骨赘切除可有效治疗食管型颈椎病。本病例表明，对于骨赘切除后有潜在颈椎不稳定的患者，使用 Zero-Profile 植入系统进行融合是一种可行的选择。
