Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case report
Abstract Background Anterior cervical spine surgery is often associated with postoperative dysphagia, but chronic dysphagia caused by laryngo-vertebral synostosis is extremely rare. We report a case of chronic dysphagia caused by synostosis between the cricoid cartilage and cervical spine after ante...
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-020-3152-5 |
| _version_ | 1818266607754936320 |
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| author | Ichiro Okano Joe Omata Yushi Hoshino Yuki Usui Tomoaki Toyone Katsunori Inagaki |
| author_facet | Ichiro Okano Joe Omata Yushi Hoshino Yuki Usui Tomoaki Toyone Katsunori Inagaki |
| author_sort | Ichiro Okano |
| collection | DOAJ |
| description | Abstract Background Anterior cervical spine surgery is often associated with postoperative dysphagia, but chronic dysphagia caused by laryngo-vertebral synostosis is extremely rare. We report a case of chronic dysphagia caused by synostosis between the cricoid cartilage and cervical spine after anterior surgery for cervical spine trauma. Case presentations We present a case of a 39-year-old man who had sustained complex spine trauma at C5–6 associated with complete spinal cord injury at the age of 22; the patient presented with a 5-year history of chronic dysphagia. Computed tomography demonstrated posterior shift of the esophagus as well as calcification of the cricoid cartilage and its fusion to the right anterior tubercle of the C5 vertebra. A barium swallow study demonstrated significant barium aspiration into the airway and no laryngeal elevation. The patient underwent resection of the bony bridge and omohyoid muscle flap insertion. His symptoms ameliorated after surgery. Conclusion Synostosis between the cricoid cartilage and cervical spine may occur associated with cervical spine trauma and causes chronic dysphagia. Resection of the fused part can improve dysphagia caused by this rare condition and omohyoid muscle flap might be a good option to prevent recurrence. |
| first_indexed | 2024-12-12T20:09:24Z |
| format | Article |
| id | doaj.art-51aff8fc94af479a9966892320655dba |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-12T20:09:24Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-51aff8fc94af479a9966892320655dba2022-12-22T00:13:32ZengBMCBMC Musculoskeletal Disorders1471-24742020-03-012111610.1186/s12891-020-3152-5Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case reportIchiro Okano0Joe Omata1Yushi Hoshino2Yuki Usui3Tomoaki Toyone4Katsunori Inagaki5Department of Orthopaedic Surgery, Ohta-Nishinouchi HospitalDepartment of Otolaryngology Head and Neck Surgery, Niigata University Graduate School of Medical and Dental SciencesDepartment of Orthopaedic Surgery, Asahi University HospitalDepartment of Orthopaedic Surgery, Ohta-Nishinouchi HospitalDepartment of Orthopaedic Surgery, Showa University School of MedicineDepartment of Orthopaedic Surgery, Showa University School of MedicineAbstract Background Anterior cervical spine surgery is often associated with postoperative dysphagia, but chronic dysphagia caused by laryngo-vertebral synostosis is extremely rare. We report a case of chronic dysphagia caused by synostosis between the cricoid cartilage and cervical spine after anterior surgery for cervical spine trauma. Case presentations We present a case of a 39-year-old man who had sustained complex spine trauma at C5–6 associated with complete spinal cord injury at the age of 22; the patient presented with a 5-year history of chronic dysphagia. Computed tomography demonstrated posterior shift of the esophagus as well as calcification of the cricoid cartilage and its fusion to the right anterior tubercle of the C5 vertebra. A barium swallow study demonstrated significant barium aspiration into the airway and no laryngeal elevation. The patient underwent resection of the bony bridge and omohyoid muscle flap insertion. His symptoms ameliorated after surgery. Conclusion Synostosis between the cricoid cartilage and cervical spine may occur associated with cervical spine trauma and causes chronic dysphagia. Resection of the fused part can improve dysphagia caused by this rare condition and omohyoid muscle flap might be a good option to prevent recurrence.http://link.springer.com/article/10.1186/s12891-020-3152-5SynostosisDysphagiaCricoid cartilageCervical spine traumaAnterior fusionOmohyoid muscle flap |
| spellingShingle | Ichiro Okano Joe Omata Yushi Hoshino Yuki Usui Tomoaki Toyone Katsunori Inagaki Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case report BMC Musculoskeletal Disorders Synostosis Dysphagia Cricoid cartilage Cervical spine trauma Anterior fusion Omohyoid muscle flap |
| title | Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case report |
| title_full | Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case report |
| title_fullStr | Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case report |
| title_full_unstemmed | Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case report |
| title_short | Chronic dysphagia caused by Laryngo-vertebral Synostosis after anterior fusion for cervical spine trauma: a case report |
| title_sort | chronic dysphagia caused by laryngo vertebral synostosis after anterior fusion for cervical spine trauma a case report |
| topic | Synostosis Dysphagia Cricoid cartilage Cervical spine trauma Anterior fusion Omohyoid muscle flap |
| url | http://link.springer.com/article/10.1186/s12891-020-3152-5 |
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