Dysphagia Caused by an Anterior Cervical Osteophyte

Woen Wook Park; Young Jun Choi

doi:10.4184/jkss.2001.8.2.176

Journal List > J Korean Soc Spine Surg > v.8(2) > 1035940

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Park and Choi: Dysphagia Caused by an Anterior Cervical Osteophyte

A Case Report

Journal of Korean Spine Surg 2001;8(2):176-180.

Published online: 21 February 2001

DOI: https://doi.org/10.4184/jkss.2001.8.2.176

Dysphagia Caused by an Anterior Cervical Osteophyte

Woen Wook Park, M.D., Young Jun Choi, M.D.

Department of Orthopaedic Surgery, College of Medicine, Pusan National University, Pusan, Korea

Address reprint requests to Woen Wook Park, M.D. Department of Orthopaedic Surgery, Pusan National University Hospital 1-10 Ami-Dong, Seo-Gu, Pusan 602-739, Korea Tel : 82-51-240-7248, Fax : 82-51-247-8395, E-mail : pww@scoliosis.co.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction

The dysphagia due to the osteophyte of the anterior cervical spine was reported to occur in the old age and lower cervical spine. The authors experienced a case of dysphagia associated with osteophyte of the 3- 4th anterior cervical spine without trauma history in a young man.

Materials and Methods

A 37- year- old man presented with the dysphagia during 2 months. The lateral radiograph and computed tomograph of cervical spine showed 1.5 cm sized anterior osteophyte in the 3- 4th cervical vertebrae that compressed the arytenoid cartilage anteriorly. In the finding of video laryngoscopy and endoscopy, the posterior hypopharyngeal wall was pro-truded and reflex gastritis was also seen. Through the anterior approach, the excision of osteophyte, discectomy and bone graft was done.

Result

Dyaphagia was relieved immediately after the removal of osteophyte. The follow up video laryngoscopy showed that the posterior hypopharyngeal wall was normalized. The radiograph showed bone union and no recurrence at 3 year follow up.

Conclusion

The surgical removal of anterior cervical osteophyte causing dysphasia showed symptom relief and excellent result at the longterm follow up.

Keywords: Cervical spine, Osteophyte, Dysphagia

REFERENCES

1). Baek CH, Kim SM, Chu KC. A Case of Diffuse Idiopathic Skeletal Hyperostosis with Dysphagia, Korean J Otolaryngol. 41:1498–1496. 1998.

2). Burkus JK. Esophageal Obstruction Secondary to Diffuse Idiopathic Skeletal Hyperostosis, Orthopedics. 11:717–720. 1988.

3). Davies RP, Sage MR. Cervical osteophyte Induced dysphagia, Australasian Radiology. 33:223–225. 1989.

4). Demuynck K, Calenburgh FV, Goffin J, Verschakelen J, Demedts M, Woestijne KV. Upper airway obstruction caused by a cervical osteophyte. Chest. 108:283–284. 1995.

5). Forestier J, Ragier R. Ankylosing hyperostosis of the spine. Clin Orthop. 74:65–83. 1971.

6). Gamach FW, Voorhies RM. Hypertrophic cervical osteophytes causing dysphagia. J Neurosurg. 53:338–344. 1980.

7). Hirano H, Suzuki H, Sakakibara T, Higuchi Y, Inoue K, Suzuki Y. Dysphagia due to hypertrophic cervical osteophytes. Clin Orthop. 162:168–172. 1982.

8). Kim KC, Youn SH, Park HS, et al. Dysphagia due to Cervical Osteophytes: Case Report. J Korean Neurosurg. 27:109–113. 1998.

9). Kissel P, Youmans JR. Posttraumatic anterior cervical osteophyte and dysphagia: surgical report and literature review. Journal of Spinal Disorders. 5:104. 1992.

10). Kodama M, Sawada H, Udaka F, Kameyama M, Koyama T. Dysphagia caused by an anterior cervical osteophyte: case report. Neuroradiology. 37:58. 1995.

11). Maran A, Jacobson I. Cervical osteophytes presenting with pharyngeal symptoms. Laryngoscope. 81:412–417. 1971.

12). Marra A, Dario A, Scamoni C, Pozzi M, Soldati M, Dorizzi A. Dysphagia due to anterior cervical osteophyte. J Neurosurg Sci. 35:229–231. 1991.

13). McGarrah PD, Teller D. Posttraumatic cervical osteophytosis causing progressive dysphagia. Southern Medical Journal. 90:858–860. 1997.

Fig. 1.

Telescopic video laryngoscopy demonstrating the bulging out of posterior hypopharyngeal wall.

Fig. 2.

Lateral radiography of cervical spine. It shows protruding large osteophyte at C3-4 vertebrae.

Fig. 3-A.

CT scan at the level of hypopharynx demonstrates that abnormal osteophyte displaces and compress the posterior hypopharyngeal wall. Fig. 3-B. MRI finding shows protruding osteophyte but normal intervertebral disc space.

Fig. 4-A.

Lateral radiography of cervical spine after excision of osteophyte, discectomy and bone graft. Fig. 4-B. Telescopic video laryngoscopy shows normal posterior hypopharyngeal wall.

Fig. 5.

Postoperative 3 year lateral radiograph shows solid bone union between C3-4 vertebral body.

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