Esophageal perforation following anterior cervical spine surgery

K. E. Newhouse, Ronald Lindsey, C. R. Clark, J. Lieponis, M. J. Murphy

Research output: Contribution to journalArticle

127 Citations (Scopus)

Abstract

The authors surveyed the Cervical Spine Research Society to compile a series of esophageal perforations following anterior cervical spine surgery. Twenty-two cases were assembled. Six occurred at the time of surgery, 6 in the postoperative period, and 10 weeks to months later. Eight surgeries were because of fracture. Hardware was implicated in 25% of cases occurring after surgery. Diagnosis was confirmed most often by direct vision at reexploration or esophography. Treatment usually consisted of drainage, repair, and parenteral antibiotics; 2 cases were successfully treated by enteral feeding and antibiotics alone. There was one fatality, and all patients required prolonged hospitalization. Cervical fracture and the use of hardware may be associated with this complication. Clinical suspicion and esophography are important diagnostic tools. Drainage and parenteral antibiotics are recommended treatment.

Original languageEnglish (US)
Pages (from-to)1051-1053
Number of pages3
JournalSpine
Volume14
Issue number10
StatePublished - 1989
Externally publishedYes

Fingerprint

Esophageal Perforation
Spine
Anti-Bacterial Agents
Drainage
Enteral Nutrition
Postoperative Period
Hospitalization
Therapeutics
Research

Keywords

  • anterior cervical spine surgery
  • diagnosis
  • esophageal perforation
  • management

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Newhouse, K. E., Lindsey, R., Clark, C. R., Lieponis, J., & Murphy, M. J. (1989). Esophageal perforation following anterior cervical spine surgery. Spine, 14(10), 1051-1053.

Esophageal perforation following anterior cervical spine surgery. / Newhouse, K. E.; Lindsey, Ronald; Clark, C. R.; Lieponis, J.; Murphy, M. J.

In: Spine, Vol. 14, No. 10, 1989, p. 1051-1053.

Research output: Contribution to journalArticle

Newhouse, KE, Lindsey, R, Clark, CR, Lieponis, J & Murphy, MJ 1989, 'Esophageal perforation following anterior cervical spine surgery', Spine, vol. 14, no. 10, pp. 1051-1053.
Newhouse KE, Lindsey R, Clark CR, Lieponis J, Murphy MJ. Esophageal perforation following anterior cervical spine surgery. Spine. 1989;14(10):1051-1053.
Newhouse, K. E. ; Lindsey, Ronald ; Clark, C. R. ; Lieponis, J. ; Murphy, M. J. / Esophageal perforation following anterior cervical spine surgery. In: Spine. 1989 ; Vol. 14, No. 10. pp. 1051-1053.
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