The subsequent barium swallow study revealed that the screw was embedded in the pharyngeal wall. Radiographs demonstrated an extruded left C3 screw, which had migrated into the prevertebral soft tissues at the C4-C5 level there was also loosening of the right C3 screw. At age 49, 4 years later, he presented with worsening dysphagia accompanied by neck and right upper extremity pain. However, its onset more than 1-year postoperatively is rare.Ĭase Description:A 45-year-old male initially underwent a C3-4 and C5-6 anterior cervical discectomy and fusion (ACDF). Swedish Medical Center, Swedish Neuroscience Institute, Washington,ĭOI:10.25259/SNI_46_2020Copyright: © 2020 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.īackground:Dysphagia is a common complication immediately following anterior cervical spine surgery. Seattle Science Foundation, Seattle, Washington, Riverside University Health System Medical Center, Moreno Valley, California, United States,.Hansjörg Wyss Hip and Pelvic Center, Swedish Hospital, Seattle, Washington,.Department of Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bochum, Germany.Swedish Medical Center, Swedish Neuroscience Institute, Washington,.Department of Medicine, Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest, Lebanon, Oregon,.Department of Medicine, University of Illinois College of Medicine, Chicago, Illinois,.Seattle Science Foundation, Seattle, Washington,.Burley, Alexander von Glinski, Christopher Elia, Jens R.
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