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Hershman SH, Kunkle WA, Kelly MP, et al. Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature. Global Spine J. 2017;7(1):28S-36Sdoi: 10.1177/2192568216687535.
Hershman, S. H., Kunkle, W. A., Kelly, M. P., Buchowski, J. M., Ray, W. Z., Bumpass, D. B., Gum, J. L., Peters, C. M., Singhatanadgige, W., Kim, J. Y., Smith, Z. A., Hsu, W. K., Nassr, A., Currier, B. L., Rahman, R. K., Isaacs, R. E., Smith, J. S., Shaffrey, C., Thompson, S. E., Wang, J. C., Lord, E. L., Buser, Z., Arnold, P. M., Fehlings, M. G., Mroz, T. E., & Riew, K. D. (2017). Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature. Global spine journal, 7(1), 28S-36S. https://doi.org/10.1177/2192568216687535
Hershman, Stuart H, et al. "Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature." Global spine journal vol. 7,1 (2017): 28S-36S. doi: https://doi.org/10.1177/2192568216687535
Hershman SH, Kunkle WA, Kelly MP, Buchowski JM, Ray WZ, Bumpass DB, Gum JL, Peters CM, Singhatanadgige W, Kim JY, Smith ZA, Hsu WK, Nassr A, Currier BL, Rahman RK, Isaacs RE, Smith JS, Shaffrey C, Thompson SE, Wang JC, Lord EL, Buser Z, Arnold PM, Fehlings MG, Mroz TE, Riew KD. Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature. Global Spine J. 2017 Apr;7(1):28S-36S. doi: 10.1177/2192568216687535. Epub 2017 Apr 01. PMID: 28451488; PMCID: PMC5400185.
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Global Spine J. 2017 Apr;7(1):28S-36S. doi: 10.1177/2192568216687535. Epub 2017 Apr 01.

Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report and Review of the Literature.

Global spine journal

Stuart H Hershman, William A Kunkle, Michael P Kelly, Jacob M Buchowski, Wilson Z Ray, David B Bumpass, Jeffrey L Gum, Colleen M Peters, Weerasak Singhatanadgige, Jin Young Kim, Zachary A Smith, Wellington K Hsu, Ahmad Nassr, Bradford L Currier, Ra'Kerry K Rahman, Robert E Isaacs, Justin S Smith, Christopher Shaffrey, Sara E Thompson, Jeffrey C Wang, Elizabeth L Lord, Zorica Buser, Paul M Arnold, Michael G Fehlings, Thomas E Mroz, K Daniel Riew

Affiliations

  1. Florida Spine Specialists, Fort Lauderdale, FL, USA.
  2. Broward Health Medical Center, Fort Lauderdale, FL, USA.
  3. Nova Southeastern University, Fort Lauderdale, FL, USA.
  4. Washington University, St Louis, MO, USA.
  5. University of Arkansas for Medical Sciences, Little Rock, AR, USA.
  6. Norton Leatherman Spine Center, Louisville, KY, USA.
  7. Chulalongkorn University, Pathumwan, Bangkok, Thailand.
  8. King Chulalongkorn Memorial Hospital, Pathumwan, Bangkok, Thailand.
  9. Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
  10. Mayo Clinic, Rochester, MN, USA.
  11. Springfield Clinic, LLP, Springfield, IL, USA.
  12. Southern Illinois University, Springfield, IL, USA.
  13. Duke University Medical Center, Durham, NC, USA.
  14. University of Virginia, Charlottesville, VA, USA.
  15. USC Spine Center, Los Angeles, CA, USA.
  16. University of California, Los Angeles, Santa Monica, CA, USA.
  17. University of Southern California, Los Angeles, CA, USA.
  18. Kansas University Medical Center, Kansas City, KS, USA.
  19. Toronto Western Hospital, Toronto, Ontario, Canada.
  20. Cleveland Clinic, Cleveland, OH, USA.
  21. Columbia University, New York, NY, USA.
  22. New York-Presbyterian/The Allen Hospital, New York, NY, USA.

PMID: 28451488 PMCID: PMC5400185 DOI: 10.1177/2192568216687535

Abstract

STUDY DESIGN: Multicenter retrospective case series and review of the literature.

OBJECTIVE: To determine the rate of esophageal perforations following anterior cervical spine surgery.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

Keywords: anterior; cervical; esophageal perforation; spine; surgery

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Stuart H. Hersh

References

  1. Ann Otol Rhinol Laryngol. 1991 Mar;100(3):201-5 - PubMed
  2. Laryngoscope. 2010 Apr;120(4):739-42 - PubMed
  3. Br J Neurosurg. 2012 Apr;26(2):185-8 - PubMed
  4. J Spinal Disord Tech. 2006 May;19(3):191-3 - PubMed
  5. Spine (Phila Pa 1976). 1989 Oct;14(10):1046-50 - PubMed
  6. Spine (Phila Pa 1976). 2002 Dec 1;27(23):E499-502 - PubMed
  7. Plast Reconstr Surg Glob Open. 2015 Jun 05;3(5):e400 - PubMed
  8. Ann Thorac Surg. 2010 Oct;90(4):1128-33 - PubMed
  9. Neurosurgery. 1991 Nov;29(5):766-8 - PubMed
  10. Acta Gastroenterol Belg. 2005 Apr-Jun;68(2):267-9 - PubMed
  11. BMJ Case Rep. 2015 Mar 20;2015: - PubMed
  12. Korean J Spine. 2013 Sep;10(3):174-6 - PubMed
  13. Spine (Phila Pa 1976). 1993 Mar 15;18(4):522-7 - PubMed
  14. Instr Course Lect. 2009;58:729-36 - PubMed
  15. Laryngoscope. 2010 May;120(5):930-6 - PubMed
  16. Am J Otolaryngol. 2015 Sep-Oct;36(5):678-85 - PubMed
  17. J Spinal Disord Tech. 2002 Dec;15(6):513-8 - PubMed
  18. Spine (Phila Pa 1976). 1989 Oct;14(10):1051-3 - PubMed
  19. Am J Surg. 2004 Jan;187(1):58-63 - PubMed
  20. Ann Thorac Surg. 1970 Dec;10(6):571-87 - PubMed
  21. Dis Esophagus. 2004;17(1):91-4 - PubMed
  22. J Laryngol Otol. 2005 Nov;119(11):913-6 - PubMed
  23. Dig Surg. 2004;21(3):246-9 - PubMed
  24. Case Rep Orthop. 2013;2013:593905 - PubMed
  25. Clin Orthop Relat Res. 1985 Jun;(196):229-37 - PubMed
  26. Ann Thorac Surg. 2004 Apr;77(4):1475-83 - PubMed
  27. J Am Acad Orthop Surg. 2008 Dec;16(12):729-38 - PubMed
  28. Eur Spine J. 2011 Jul;20 Suppl 2:S211-6 - PubMed
  29. Rev Med Chir Soc Med Nat Iasi. 2014 Jul-Sep;118(3):683-7 - PubMed
  30. Acta Neurochir (Wien). 2009 Apr;151(4):297-302; discussion 302 - PubMed
  31. J Clin Neurosci. 2001 Sep;8(5):464-8 - PubMed
  32. Spine J. 2015 Oct 1;15(10):e75-80 - PubMed
  33. Neurol India. 2003 Dec;51(4):534-6 - PubMed
  34. Ann Thorac Surg. 2011 Jul;92(1):209-15 - PubMed
  35. J Spinal Disord Tech. 2008 Dec;21(8):597-605 - PubMed
  36. J Clin Neurosci. 2013 Oct;20(10):1402-5 - PubMed
  37. Spine J. 2008 Sep-Oct;8(5):831-5 - PubMed
  38. Spine (Phila Pa 1976). 2011 Dec 15;36(26):2286-92 - PubMed
  39. Arch Orthop Trauma Surg. 2004 Jun;124(5):349-53 - PubMed
  40. Clin Orthop Relat Res. 1991 Jun;(267):8-13 - PubMed
  41. Bone Joint J. 2013 Jul;95-B(7):868-73 - PubMed
  42. Eur Spine J. 2005 Nov;14(9):880-6 - PubMed
  43. Surg Neurol. 2008 Jan;69(1):20-4; discission 24 - PubMed
  44. J Neurosurg Spine. 2009 Sep;11(3):320-5 - PubMed
  45. Int J Crit Illn Inj Sci. 2013 Oct;3(4):276-8 - PubMed
  46. Surgery. 1971 Feb;69(2):175-82 - PubMed
  47. J Trauma. 2007 Nov;63(5):1173-84 - PubMed
  48. J Neurosurg. 1999 Jan;90(1 Suppl):35-41 - PubMed
  49. J Clin Neurosci. 2011 Oct;18(10):1374-80 - PubMed
  50. Dis Esophagus. 2009;22(4):374-80 - PubMed
  51. Spine (Phila Pa 1976). 2003 Aug 1;28(15):E290-5 - PubMed
  52. Gastroenterology. 1994 Mar;106(3):787-802 - PubMed
  53. Orthop Clin North Am. 2012 Jan;43(1):63-74, viii - PubMed
  54. J Spinal Disord. 2000 Feb;13(1):77-84 - PubMed
  55. Spine (Phila Pa 1976). 2005 Oct 15;30(20):E617-22 - PubMed
  56. Spine (Phila Pa 1976). 2000 Sep 1;25(17):2258-61 - PubMed
  57. Ear Nose Throat J. 1997 Jul;76(7):442-4 - PubMed
  58. Eur Spine J. 2012 Jan;21(1):172-7 - PubMed
  59. Spine (Phila Pa 1976). 2015 Feb 1;40(3):E183-5 - PubMed
  60. Spine (Phila Pa 1976). 2007 Oct 1;32(21):2310-7 - PubMed
  61. Am J Surg. 1963 Apr;105:505-10 - PubMed
  62. Scand J Trauma Resusc Emerg Med. 2011 Oct 30;19:66 - PubMed
  63. Eur Spine J. 2008 Sep;17 Suppl 2:S280-4 - PubMed
  64. Spine (Phila Pa 1976). 2008 Apr 15;33(8):E268-71 - PubMed

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