Elies W
HNO. 1979 Nov;27(11):380-1.
A number of complications can occur following cervical vertebral fusions of intervertebral disc lesions. These include hypoglossal or recurrent laryngeal nerve paresis, inflammation of the operative wound, injuries of the esophagus and hypopharynx, as well as instability of alloplastic fusion material and spinal cord injury with tetraplegia. Cloward has reported transient postoperative dysphagia in 80% of patients. We describe a patient suffering from persistent dysphagia after cervical fusion. The symptoms were caused by adhesions between the esophagus and prevertebral muscles and a sharp edge of osteochondrosis of the vertebral body. The importance of surgical treatment in such patients is discussed.
椎间盘病变颈椎融合术后可能会出现多种并发症。这些并发症包括舌下神经或喉返神经麻痹、手术伤口炎症、食管和下咽损伤，以及异体融合材料不稳定和脊髓损伤导致四肢瘫痪。克洛德报告称，80%的患者术后出现短暂性吞咽困难。我们描述了一名颈椎融合术后持续吞咽困难的患者。症状是由食管与椎体前方肌肉之间的粘连以及椎体骨软骨病的锐缘引起的。讨论了对此类患者进行手术治疗的重要性。
