LXII A Case of Dysphagia Due to an Osteochondroma of the Cervical Spine—Osteotomy—Recovery

Iglauer, Samuel

doi:10.1177/000348943804700318

Cited by 37 publications

(18 citation statements)

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“…Historically, dysphagia due to cervical osteophytes has been well reported in the literature (Aronowitz and Cobarrubias 2003;Di Vito 1998;Fuerderer et al 2004;Goel et al 1999;Kanbay and Selcuk 2006;Kodama et al 1995;Ng et al 2005;Rosen 1985;Stancampiano et al 2002;Strasser et al 2000;Stuart 1989;Srinivas and George 1999;Yee et al 1985; Zahn (1905) reported the first case (Idem 1906). This was followed in 1926 by Mosher (1926) who reported two cases and in 1938 by Iglauer (1938) who performed the first surgical excision of cervical osteophytes in an attempt to relieve dysphagia. Additionally, Hilding and Tachdjian (1960) found 36 cases in a 1960 review of the literature, followed in 1973 by Meeks and Renshaw (1973), who studied 60 cases of dysphagia in which 10 were surgically repaired.…”

Section: Cervical Osteophytesmentioning

confidence: 99%

Vertebral spinal osteophytes

Klaassen

Tubbs²,

Apaydın

et al. 2010

Anat Sci Int

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Osteoarthritis is a common complication in the elderly and is often associated with osteophyte growth on vertebral bodies. The clinical presentation of vertebral osteophytes is related to anatomical structures adjacent to the spinal column. For instance, cervical osteophytes potentially involve the pharynx and esophagus, leading to dysphagic symptoms that may be accompanied by food aspiration, vocal fold paralysis and obstructive sleep apnea. In addition to anterior cervical osteophytes, posterior and uncinate process osteophytes may form, compressing the spinal cord and vertebral artery blood supply, respectively. Cervical osteophytes have also been shown to form an accessory median atlanto-occipital joint when the relationship between the atlas, dens and basiocciput is involved. In the thorax, the esophagus is often affected by osteophytes and may result in dysphagia. Traumatic and non-traumatic thoracic aorta pseudoaneurysm formation has been attributed to sharp osteophytes lacerating the aorta, a direct complication of the relationship between the aorta anterior vertebral column. Additionally, aspiration pneumonia was reported in patients with compression of a main stem bronchus, due to mechanical compression by thoracic osteophytes. In the lumbar spinal region, the two major structures in close proximity to the spine are the inferior vena cava and abdominal aorta, both of which have been reported to be affected by osteophytes. Treatment of osteophytes is initially conservative with anti-inflammatory medications, followed by surgical removal. Increasing obesity and geriatric populations will continue to result in an array of osteoarthritic degenerative changes such as osteophyte formation.

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Section: Cervical Osteophytesmentioning

confidence: 99%

Vertebral spinal osteophytes

Klaassen

Tubbs²,

Apaydın

et al. 2010

Anat Sci Int

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“…In 1905, Zahn first described cervical osteophytes causing esophageal compression (6). The first surgical excision of an osteophyte was reported in 1938 (10). Since the disease entity "DISH" is only known for a few years, it is probable that several older reports describing cervical osteophytes causing dysphagia were in fact cases of DISH.…”

Section: Discussionmentioning

confidence: 99%

“…The most easily accomplished approach is as in anterior cervical dissectomy (10,17). The results are usually gratifying, but risks of vocal cord paralysis, perforation of trachea or esophagus have to be avoided by careful surgical technique (11).…”

Section: Discussionmentioning

confidence: 99%

Dysphagia caused by diffuse idiopathic skeletal hyperostosis

Fahrer

Markwalder

1988

Clin Rheumatol

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Diffuse idiopathic skeletal hyperostosis (DISH) of the spine is often a hazardous radiological finding. Dysphagia, caused by ossification of the anterior longitudinal ligament, may be one of the most important clinical symptoms disturbing the patient. Diagnosis is done by esophagogram, and cervical decompression restores esophageal function. The case of a successfully operated patient is reported and a short overview of the literature is given.

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“…Bauer (1953) thinks that the condition is by no means rare, and that many cases remain undiscovered. The dysphagia is usually very moderate; it can be a matter of temporary dysphagia with occasional episodes of discomfort, which are more pronounced when the patient is under nervous tension; but the symptoms can also be progressive (Iglauer 1938). Intolerance of solid food is noted as a first sign of a narrow passage, and pain can occur on swallowing (Heck 1956).…”

Section: Discussionmentioning

confidence: 99%

“…The absence of symptoms in many cases can be explained by the mobility of the oesophagus. This has been compared to a bowstring with two fixed points (cartilago cricoides and diaphragm) ; clinical investigations have shown that when an exostosis causes dysphagia it is localized close to the more immobile parts of the oesophagus (Iglauer 1938).…”

Section: Discussionmentioning

confidence: 99%