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oesophageal perforation by an anterior cervical fixation device : Management in debilitated patients

Journal Volume 68 - 2005
Issue Fasc.2 - Case reports
Author(s) V. De Moor, O. De Witte, M. Zalcman, M. Gelin, O. Le Moine, I. El Nakadi
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Departments of (1) Digestive Surgery ; (2) Neurosurgery ; (3) Radiology and (4) Gastroenterology, Erasme Hospital, ULB, Brussels, Belgium.

oesophageal perforation following anterior cervical fixation has been reported in the neurosurgical and orthopaedic literature as a rare complication of such procedure. The complications asso- ciated with oesophageal perforation may range from minor symp- toms to mediastinitis and death. We report two oesophageal perforations following cervical fix- ation device migration in patients with poor prognosis, managed successfully with conservative surgical and endoscopic techniques. (Acta gastroenterol. belg., 2005, 68, 267-269).

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