Long-term follow-up of anterior cervical discectomy and fusion with bioabsorbable plates and screws

Pharyngeal perforation after anterior cervical spine surgery treated by transoral endoscopic surgery

“…Anterior plating contributes to an immediate stabilization that enables osseous fusion and the latter avoids prolonged neck brace use, allowing for early cervical mobilization and a shorter hospitalization. [1][2][3][4][5][6][7][8][9][10] Despite its widespread use and the relative simplicity of the technique, the risk of potential complications still ranges from 5% to 35%. [1][2][3]8 Some complications have a low risk, such as pharyngoesophageal edema, small hematoma, infection, or transitory recurrent laryngeal or hypoglossal nerve lesions, whereas others are life-threatening, such as epidural abscess, mediastinitis, or edema and hemorrhage with upper airway involvement.…”

“…Surgical material for fixation displacement is the origin of approximately 5% of the complications, with 2% requiring revision surgery . Pharyngoesophageal lumen perforation is rarely seen.…”

“…Anterior cervical fixation through different devices has been used for multiple pathologies, such as traumatism, compressive myelopathy, or spinal infections since 1967. [1][2][3][4][5][6][7][8][9] It is a broadly developed technique in neurosurgery with a reported complication rate of 5%-35%. 1 Clinical evolution is usually satisfactory and well tolerated, although serious complications can occur, such as mediastinitis, severe hemorrhage, or epidural abscess.…”

“…[1][2][3][4][5][6][7][8][9] It is a broadly developed technique in neurosurgery with a reported complication rate of 5%-35%. 1 Clinical evolution is usually satisfactory and well tolerated, although serious complications can occur, such as mediastinitis, severe hemorrhage, or epidural abscess. [1][2][3] Surgical material for fixation displacement is the origin of approximately 5% of the complications, with 2% requiring revision surgery.…”

“…1 Clinical evolution is usually satisfactory and well tolerated, although serious complications can occur, such as mediastinitis, severe hemorrhage, or epidural abscess. [1][2][3] Surgical material for fixation displacement is the origin of approximately 5% of the complications, with 2% requiring revision surgery. 1,4 Pharyngoesophageal lumen perforation is rarely seen.…”