Rare case of anterior cervical discectomy and fusion complication in a patient with Zenker's diverticulum

BMJ Case Rep. 2018 Dec 9;11(1):e226022. doi: 10.1136/bcr-2018-226022.

Abstract

We present a case of Zenker's diverticulum in a 45-year-old woman, occurred as complication after anterior cervical discectomy and fusion for a cervical spine injury. The oesophageal complication occurred 12 months after vertebral cervical surgery and presenting symptoms were fever, dysphagia and neck pain with evidence of retropharyngeal infection. We performed a posterior cervical stabilisation C3-D1 by screws and rods and a second anterior left cervical approach with anterior plate removing and oesophageal wall break repairing with a sternohyoid muscle patch. Despite pharyngo-oesophageal diverticulum may be a complication of anterior cervical surgery (traction diverticulum), in case of an already present true Zenker's diverticulum, delayed complication may occur without cervical hardware pull-out.

Keywords: bone and joint infections; neuroimaging; neurology (drugs and medicines); neurosurgery; trauma CNS /PNS.

Publication types

  • Case Reports

MeSH terms

  • Bone Plates / adverse effects
  • Cervical Vertebrae / surgery*
  • Deglutition Disorders
  • Diskectomy / methods*
  • Esophagoscopy
  • Female
  • Humans
  • Middle Aged
  • Pharynx / injuries*
  • Postoperative Complications / pathology
  • Postoperative Complications / surgery*
  • Spinal Fusion / adverse effects*
  • Spinal Injuries / surgery*
  • Treatment Outcome
  • Zenker Diverticulum / etiology
  • Zenker Diverticulum / pathology*
  • Zenker Diverticulum / surgery