Dysphagia secondary to anterior cervical spine osteophytes
Ali Akhaddar, Mohammed Zalagh
The Pan African Medical Journal. 2014;17:36. doi:10.11604/pamj.2014.17.36.3843

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Dysphagia secondary to anterior cervical spine osteophytes

Cite this: The Pan African Medical Journal. 2014;17:36. doi:10.11604/pamj.2014.17.36.3843

Received: 11/01/2014 - Accepted: 17/01/2014 - Published: 20/01/2014

Key words: Dysphagia, cervical spine, osteophytes

© Ali Akhaddar et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/17/36/full

Corresponding author: Ali Akhaddar, Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco (akhaddar@hotmail.fr)


Dysphagia secondary to anterior cervical spine osteophytes

 

Ali Akhaddar1,2,&, Mohammed Zalagh3

 

1Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco/University of Mohammed V Souissi, Rabat, Morocco/Department of Otorhinolaryngology, Moulay Ismail Military Hospital, Meknes, Morocco

 

 

&Corresponding author
Ali Akhaddar, Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco

 

 

Image in medicine

A 40-year-old woman, previously healthy, presented with a 6-month history of foreign body sensation of the pharynx with recent progressive dysphagia when swallowing both solid and liquid foods. A lateral cervical radiograph showed severe anterior osteophytosis on C3-C4, which was confirmed on computed tomography scan (A, B and C). The posterior pharyngeal wall was compressed by the anterior spurs at the C3-C4 level. Anterior resection of the ventral spinal osteophytes was performed via an antero-lateral extrapharyngeal approach. After the operation, the dysphagia resolved. Cervical osteophytes are common but osteophytes causing dysphagia due to compression of pharynx and oesophagus are unusual. The most common aetiologies are diffuse idiopathic skeletal hyperostosis (Forestier's disease) and ankylosing spondylitis. Initial treatment includes diet modifications, non-steroidal anti-inflammatory and muscle relaxants medications. Osteophytectomy may be considered in certain patients where conservative management fails. Stabilization of the spine is not advocated.

Figure 1: Cervical computed tomography scan (body windows) on sagittal (A) and axial (B and C) views revealing an important anterior cervical osteophytosis (arrows) at C3-C4 vertebral level causing compression of the upper airway and the pharynx

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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