Results after the surgical treatment of anterior cervical hyperostosis causing dysphagia

Höh, Nicolas H. von der; Voelker, Anna; Jarvers, Jan-Sven; Gulow, Jens; Heyde, Christoph E.

doi:10.1007/s00586-014-3507-4

Cited by 54 publications

(56 citation statements)

References 21 publications

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“…4,22,23 When the extrinsic cause of the compression is the most prominent, surgical resection of the osteophytes via a standard anterior approach can be performed for more severe conditions and impairment of the quality of life. 4,[24][25][26][27][28] The results are less satisfactory the more the changes in the esophagus itself have progressed. 4,29 The resection of the osteophytes does not eliminate the underlying disease, so new ossification can develop.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of anterior cervical osteophytes causing dysphagia

Ruetten

Baraliakos

Godolias

et al. 2019

J Orthop Surg (Hong Kong)

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Dysphagia due to anterior cervical osteophytes is a rare condition. However, it can become serious enough to permanently impair the quality of life up to making normal food intake impossible. If conservative treatment fails, there is the option of surgical resection of the osteophytes. The objective of this study was to assess the outcomes of resections of anterior cervical osteophytes causing spondylogenic dysphagia, taking literature into consideration. Method: Resection of anterior cervical osteophytes using a standard anterior approach was performed in 14 consecutive patients with spondylogenic dysphagia between 2009 and 2015. Indomethacin or radiation was used to prevent recurrence. Imaging and clinical data were collected in follow-up examinations over an average of 50 months. Results: The osteophytes were sufficiently resected in all cases. Anterior plates were placed in three patients due to pronounced segmental mobility. Five patients were given recurrence prevention in the form of indomethacin, nine with radiation. One patient required revision surgery for a hematoma. No other serious complications were observed. All patients had significant improvement of their symptoms. No recurrences or signs of increasing instability were found during the follow-up period. Conclusion: When conservative treatment fails, surgical resection of cervical osteophytes is a sufficient method for treating spondylogenic dysphagia. High patient satisfaction and improvement of the quality of life are achieved with a low complication rate. Routine additional stabilization has been discussed as recurrence prevention. Prophylaxis using indomethacin or radiation, known primarily from hip replacement, also appears to be an option.

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Section: Introductionmentioning

confidence: 99%

Surgical treatment of anterior cervical osteophytes causing dysphagia

Ruetten

Baraliakos

Godolias

et al. 2019

J Orthop Surg (Hong Kong)

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“…Several reports have insisted that appropriate management of this condition requires cervical fusion 12,23) , as ligamentous ossification 10 is believed to progress until rigidity is established. Nicolas H et al also reported six cases of osteophytectomy and fusion 24) . However, the possibility of adjacent segment osteophyte development after fusion surgery remains unclear.…”

Section: Discussionmentioning

confidence: 97%

Surgical Treatment for Cervical Diffuse Idiopathic Skeletal Hyperostosis as a Cause of Dysphagia

Yoshioka

Murakami

Demura

et al. 2018

Spine Surg Relat Res

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“…The size of the osteophyte does not correlate with the severity of dysphagia, although it is commonly accepted that bone a excrescence bigger than 12mm becomes a symptomatic, but bigger than 10mm increases significantly the risk of aspiration [18,19]. Gradually increasing dysphagia symptoms worsen the quality of a patient's life, and 8-10% of cases require surgical treatment [15,20].…”

Section: Discussionmentioning

confidence: 99%

Dysphagia as a symptom of anterior cervical hyperostosis – Case report

Węgłowski¹,

Piech²

2020

Ann Agric Environ Med.

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Degenerative lesions with hyperostosis on the anterior surface of cervical spine are common in clinical practice. In addition to pain being an effect of spinal dysfunction, they sometimes cause difficulties in swallowing or speaking as well as breathing disorders. A 52-year-old farmer with 4-year history of gradually intensifying dysphagia was admitted to hospital due to inability to intake a solid food, significant weight loss, and because of the appearance of a new symptom-dysphonia. Previous conservative treatment for swallow difficulties was ineffective. CT revealed a bone excrescence on the anterior surface of two cervical vertebrae which caused an oesophageal obstruction and compression of the vocal folds. Structural abnormalities of cervical spine should be considered in differential diagnosis of symptoms from the oesophagus and upper respiratory tract, especially when a first-line conservative treatment is not effective. In these cases, surgical removal of the osteophyte is an effective way of treatment.

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Results after the surgical treatment of anterior cervical hyperostosis causing dysphagia

Cited by 54 publications

References 21 publications

Surgical treatment of anterior cervical osteophytes causing dysphagia

Surgical treatment of anterior cervical osteophytes causing dysphagia

Surgical Treatment for Cervical Diffuse Idiopathic Skeletal Hyperostosis as a Cause of Dysphagia

Dysphagia as a symptom of anterior cervical hyperostosis – Case report

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