Esophageal Damage From Thoracic Spine Stereotactic Body Radiation Therapy.

The risk of serious esophageal damage from stereotactic body radiation therapy for a spine metastasis increases when the target is in the upper thoracic or cervical spine because the esophagus almost touches the anterior edge of the vertebral body at these levels. This report describes a case of severe esophageal damage from stereotactic body radiation therapy to the T-2 vertebral body, reviews pertinent literature, and suggests implications for future research and practice.