Published in:
01-02-2018 | Case Report - Spine
Spontaneous healing of a shredded esophagus after ACDF without direct repair
Authors:
Sumedh S. Shah, S. Shelby Burks, Dao M. Nguyen, Zoukaa B. Sargi, Joy Stephens-McDonnough, Michael Y. Wang
Published in:
Acta Neurochirurgica
|
Issue 2/2018
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Abstract
Esophageal perforation is a catastrophic complication of anterior cervical discectomy and fusion (ACDF). While direct surgical repair has been reported as optimal for restoration of upper gut function, we present the case of a 58-year-old woman who achieved complete resolution when treated only with debridement and drainage. We find that a supportive approach, surgical management without direct repair, may play a vital role in select patient populations in order to avoid potentially long-term consequences or radical treatments, like esophageal diversion. Decisions regarding direct repair versus debridement and inspection only should be made on a case-by-case basis through a multidisciplinary approach.