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C5-C7颈椎前路椎体次全切除融合术后并发食管穿孔的罕见病例,经手术行食管修复及长节段颈椎融合治疗

An Unusual Case of Esophageal Perforation Following C5-C7 Anterior Cervical Corpectomy and Fusion Managed Surgically With Esophageal Repair and Long-Segment Cervical Fusion.

作者信息

Pisal Tushar, Gurnani Sagar, Chaudhari Ajinkya K

机构信息

Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to Be University), Pune, IND.

Department of Orthopaedics, Sainath Hospital, Pune, IND.

出版信息

Cureus. 2024 Nov 7;16(11):e73256. doi: 10.7759/cureus.73256. eCollection 2024 Nov.

Abstract

Anterior cervical corpectomy and fusion (ACCF) is frequently the surgical management for myelopathy, radiculopathy, and cervical spine trauma. Although esophageal perforation is an uncommon complication, it remains a serious concern. This report details the case of a 50-year-old female who underwent a C6 corpectomy with C5-C7 ACCF due to degenerative pathology and subsequently developed an esophageal perforation that required revision surgery and surgical repair of the perforated esophagus. A comprehensive review for surgically managing esophageal perforation following cervical spine surgery is essential for intensivists to improve postoperative airway management strategies.

摘要

颈椎前路椎体次全切除融合术(ACCF)常用于治疗脊髓病、神经根病和颈椎创伤。尽管食管穿孔是一种罕见的并发症,但仍是一个严重问题。本报告详细介绍了一名50岁女性的病例,该患者因退行性病变接受了C6椎体次全切除及C5 - C7颈椎前路椎体次全切除融合术,随后发生食管穿孔,需要进行翻修手术及对穿孔食管进行手术修复。对颈椎手术后食管穿孔的手术管理进行全面综述,对于重症监护医生改进术后气道管理策略至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ca4/11625174/9d887127a028/cureus-0016-00000073256-i01.jpg

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