AI Article Synopsis
- * The patient underwent C1 laminectomy and posterior atlantoaxial fixation due to severe compression of the cervical cord, which initially improved his symptoms of tetraparesis and bowel dysfunction.
- * Post-surgery, the patient developed dysphagia and aspiration, attributed to factors such as restricted cervical spine motion and potential cervical cord injury, marking a first report of this complication after such a surgical procedure not involving the occipital bone.
Article Abstract
Although dysphagia is known potential complication of cervical spine surgery, it rarely occurs after a posterior approach. We describe an unusual case of a retro-odontoid pseudotumor that suffered dysphagia following a C1 laminectomy and posterior atlantoaxial fixation. A 79-year-old man presented with progressive tetraparesis and bladder and bowel dysfunction due to severe compression to cervical cord at C1 from a retro-odontoid pseudotumor. After C1 laminectomy and atlantoaxial fixation, the symptoms improved, but dysphagia and aspiration developed, associated with pharyngeal and esophageal stases on videofluoroscopy. Possible explanations for postoperative dysphagia include limitation of cervical spine motion, and cervical cord reperfusion injury in addition to the baseline anterior osteophyte and aging. This is the first case of dysphagia developing after laminectomy and posterior atlantoaxial fixation not involving the occipital bone.
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| http://dx.doi.org/10.1080/02688697.2018.1538485 | DOI Listing |
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