Surgical Treatments on Patients with Anterior Cervical Hyperostosis-Derived Dysphagia

Abstract

Anterior cervical hyperostosis may be a cause of dysphagia. For anterior cervical hyperostosis, medical or surgical treatments can be adhibited in view of the causative mechanisms and intensities of dysphagia. We report 3 cases of cervical hyperostosis-derived progressive dysphagia that underwent operation. Radiologic diagnosis and Video Fluoroscopic Swallowing Study were performed on the three patients for evaluation. One had history of recurrent aspiration pneumonia accompanied by weight loss, another complained of dysphagia only when swallowing pills, and the third experienced recurrence symptom with reossification. All patients reported gradual improvement of dysphagia immediately after their cervical osteophytes were resected through the anterior approach. In relation to postoperative improvement, however, they expressed different degrees of satisfaction according to severity of symptoms. Surgical treatment, performed for the anterior cervical hyperostosis-derived dysphagia, can immediately relieve symptoms of difficulty in swallowing. This might especially be considered as an appropriate treatment option for severe dysphagia.

Dysphagia produced by cervical spine osteophyte. A case report

“…The most frequent bibliographic records found in the medical literature link these clinical pictures to Forestier's disease or diffuse idiopathic skeletal hyperostosis [6][7][8][9][10] and to a lesser degree, with osteophytes of arthrotic origin.…”

“…Resection should be performed through an anterior route with the usual approach, resecting the osteophyte with a chisel, rongeurs or drill. Miyamoto et al (10) demonstrated that if we perform the resection of an anterior vertebral cervical osteophyte, it can be regenerated with average growth of 1 mm per year.…”

Early Detection of Anterior Cervical Osteophytes Causing Dysphagia by Esophagogastroduodenoscopy

“…1 지속적인 연하곤란은 음식물의 흡인에 의한 기침과 고령에서 폐렴의 합병증을 유발 할 수 있다. 2,3 구인두 연하곤란을 일으키는 구조적 원인 중 경추 전방 골극 이 인두, 상부식도, 상부기도를 직접적으로 압박하거나 주변의 근육의 수축을 일으켜 연하곤란 및 구강의 음식물이 기도로 흡 인되어 조절이 되지 않은 기침, 흡인성 폐렴 및 드물게는 폐쇄 성 수면 무호흡증, 발성장애를 유발하는 합병증과 연관된 보고 들이 있었다. [2][3][4][5] 진단은 (Fig.…”

Anterior Herniation of Partially Calcified and Degenerated Cervical Disc Causing Dysphagia

“…This condition can cause dysphagia due to pressure on the posterior aspect of the esophagus. Cases of dysphagia caused by hypertrophic anterior cervical osteophytes have been increasing in number in the literature in recent years [ 7 8 9 10 ]. Dysphagia caused by neurological disorders is mostly seen in patients suffering from diffuse idiopathic skeletal hyperostosis (DISH) [ 11 ].…”