Surgical repair of Zenker's traction diverticulum with infected spinal hardware following anterior cervical fusion: A report of two cases
Zenker's traction diverticulum is a potentially fatal complication of anterior cervical spinal surgery which is likely under-reported. It is managed by medical stabilization, surgical abscess drainage, hardware removal, cricopharyngeal myotomy, and diverticulectomy with or without muscle flap i...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751921003807 |
| _version_ | 1818288758347268096 |
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| author | SangMin Kim Hassan A. Khalil Eleni M. Rettig John H. Chi Sachin L. Naik M. Blair Marshall |
| author_facet | SangMin Kim Hassan A. Khalil Eleni M. Rettig John H. Chi Sachin L. Naik M. Blair Marshall |
| author_sort | SangMin Kim |
| collection | DOAJ |
| description | Zenker's traction diverticulum is a potentially fatal complication of anterior cervical spinal surgery which is likely under-reported. It is managed by medical stabilization, surgical abscess drainage, hardware removal, cricopharyngeal myotomy, and diverticulectomy with or without muscle flap interposition. We present two cases of Zenker's traction diverticulum perforation with spinal hardware erosion and infection, both of which opted for the muscle flap interposition. Given the inevitable scarring of the esophagus from the hardware and the low risk and significant benefit associated with a flap, a preemptive sternocleidomastoid flap at the time of the anterior spinal hardware may help reduce the growing burden of complication. |
| first_indexed | 2024-12-13T02:01:28Z |
| format | Article |
| id | doaj.art-ad5bf7acc8794f04b65bfaf4fe9fbd4b |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-13T02:01:28Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-ad5bf7acc8794f04b65bfaf4fe9fbd4b2022-12-22T00:03:15ZengElsevierInterdisciplinary Neurosurgery2214-75192022-06-0128101468Surgical repair of Zenker's traction diverticulum with infected spinal hardware following anterior cervical fusion: A report of two casesSangMin Kim0Hassan A. Khalil1Eleni M. Rettig2John H. Chi3Sachin L. Naik4M. Blair Marshall5Harvard Medical School, Boston, MA, USA; Division of Thoracic and Cardiac Surgery, Brigham and Women's Hospital, Boston, MA, USA; Corresponding author at: 75 Francis Street, Boston, MA 02115, USA.Harvard Medical School, Boston, MA, USA; Division of Thoracic and Cardiac Surgery, Brigham and Women's Hospital, Boston, MA, USA; Surgical Service, Veterans Affairs Boston Healthcare System, Boston, MA, USAOtolaryngology-Head and Neck Surgery, Brigham and Women's Hospital, Boston, MA, USANeurosurgery, Brigham and Women's Hospital, Boston, MA, USAHarvard Medical School, Boston, MA, USAHarvard Medical School, Boston, MA, USA; Division of Thoracic and Cardiac Surgery, Brigham and Women's Hospital, Boston, MA, USAZenker's traction diverticulum is a potentially fatal complication of anterior cervical spinal surgery which is likely under-reported. It is managed by medical stabilization, surgical abscess drainage, hardware removal, cricopharyngeal myotomy, and diverticulectomy with or without muscle flap interposition. We present two cases of Zenker's traction diverticulum perforation with spinal hardware erosion and infection, both of which opted for the muscle flap interposition. Given the inevitable scarring of the esophagus from the hardware and the low risk and significant benefit associated with a flap, a preemptive sternocleidomastoid flap at the time of the anterior spinal hardware may help reduce the growing burden of complication.http://www.sciencedirect.com/science/article/pii/S2214751921003807Cervical fusionTraction diverticulumMuscle flapEsophageal perforationCervical spine |
| spellingShingle | SangMin Kim Hassan A. Khalil Eleni M. Rettig John H. Chi Sachin L. Naik M. Blair Marshall Surgical repair of Zenker's traction diverticulum with infected spinal hardware following anterior cervical fusion: A report of two cases Interdisciplinary Neurosurgery Cervical fusion Traction diverticulum Muscle flap Esophageal perforation Cervical spine |
| title | Surgical repair of Zenker's traction diverticulum with infected spinal hardware following anterior cervical fusion: A report of two cases |
| title_full | Surgical repair of Zenker's traction diverticulum with infected spinal hardware following anterior cervical fusion: A report of two cases |
| title_fullStr | Surgical repair of Zenker's traction diverticulum with infected spinal hardware following anterior cervical fusion: A report of two cases |
| title_full_unstemmed | Surgical repair of Zenker's traction diverticulum with infected spinal hardware following anterior cervical fusion: A report of two cases |
| title_short | Surgical repair of Zenker's traction diverticulum with infected spinal hardware following anterior cervical fusion: A report of two cases |
| title_sort | surgical repair of zenker s traction diverticulum with infected spinal hardware following anterior cervical fusion a report of two cases |
| topic | Cervical fusion Traction diverticulum Muscle flap Esophageal perforation Cervical spine |
| url | http://www.sciencedirect.com/science/article/pii/S2214751921003807 |
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