Original article | Volume 17, Article 36, 20 Jan 2014 | 10.11604/pamj.2014.17.36.3843

Dysphagia secondary to anterior cervical spine osteophytes

Ali Akhaddar, Mohammed Zalagh

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

Received: 11 Jan 2014 - Accepted: 17 Jan 2014 - Published: 20 Jan 2014

Domain: Clinical medicine

Keywords: Dysphagia, cervical spine, osteophytes

©Ali Akhaddar et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Ali Akhaddar et al. Dysphagia secondary to anterior cervical spine osteophytes. Pan African Medical Journal. 2014;17:36. [doi: 10.11604/pamj.2014.17.36.3843]

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

Home | Volume 17 | Article number 36

Original article

Dysphagia secondary to anterior cervical spine osteophytes

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Dysphagia secondary to anterior cervical spine osteophytes

Original article

Dysphagia secondary to anterior cervical spine osteophytes

Original article

Dysphagia secondary to anterior cervical spine osteophytes

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Key words

Dysphagia

Cervical spine

Osteophytes

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Dysphagia secondary to anterior cervical spine osteophytes