Dysphagia following C1 laminectomy and posterior atlantoaxial fixation for retro-odontoid pseudotumor: a case report.
Autor: Tanioka, Satoru; Kuraishi, Keita; Mizuno, Masaki; Ishida, Fujimaro; Fuse, Ikuko; Umehara, Ken; Suzuki, Hidenori
Publication year: 2020
British journal of neurosurgery
issn:1360-046X 0268-8697
doi: 10.1080/02688697.2018.1538485
Abstract:
Purpose: 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.Materials and methods: 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.Results and conclusions: 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.
Language: eng
Rights:
Pmid: 30453791
Tags: Humans; Aged; Male; Magnetic Resonance Imaging; Cervical Vertebrae/diagnostic imaging/surgery; Laminectomy/adverse effects; *Atlanto-Axial Joint/diagnostic imaging/surgery; *Deglutition Disorders/etiology/surgery; *Odontoid Process/diagnostic imaging/surgery; C1 laminectomy; dysphagia; posterior atlantoaxial fixation; retro-odontoid pseudotumor; Spinal Neoplasms
Link: https://pubmed.ncbi.nlm.nih.gov/30453791/
