Echevarria Alexandra C, Hershfeld Benjamin, Verma Rohit, Bruni Margherita
Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Orthopedic Surgery, Northwell Health, Manhasset, USA.
Cureus. 2024 Jul 15;16(7):e64603. doi: 10.7759/cureus.64603. eCollection 2024 Jul.
Anterior cervical discectomy and fusion (ACDF) is a surgical procedure used to manage spine pathology including disc herniation, spondylosis, and myelopathy. During the operation, the vertebral segment of interest is accessed via the anterior neck and the disc space is fully resected along with osteophytes to relieve the compression along the affected nerve. While the procedure is regarded as being highly effective in improving symptoms, there are several complications associated with the surgery that patients should be cautioned about. We present a case of a patient with oropharyngeal and cervical esophageal dysphagia and left vocal cord paralysis following a C5/C6, C6/C7, and C7/T1 ACDF for multilevel cervical stenosis and disc herniation. Otolaryngology evaluation confirmed vocal cord paralysis from recurrent laryngeal nerve palsy (RLNP) and the patient's symptoms were managed with a vocal cord injection and speech therapy. This report explores the surgical approach for ACDF along with its complications and postoperative care.
颈椎前路椎间盘切除融合术（ACDF）是一种用于治疗脊柱疾病的外科手术，这些疾病包括椎间盘突出、脊椎关节强硬和脊髓病。在手术过程中，通过颈部前方进入感兴趣的椎体节段，将椎间盘间隙连同骨赘一起完全切除，以缓解受影响神经的压迫。虽然该手术在改善症状方面被认为非常有效，但与手术相关的并发症有几种，患者应予以注意。我们报告一例患者，因多节段颈椎管狭窄和椎间盘突出接受C5/C6、C6/C7和C7/T1节段的ACDF手术后，出现口咽和颈段食管吞咽困难以及左侧声带麻痹。耳鼻喉科评估证实为喉返神经麻痹（RLNP）导致声带麻痹，患者的症状通过声带注射和言语治疗得到处理。本报告探讨了ACDF的手术方法及其并发症和术后护理。
