Esophageal Perforation Following C4 – C6 Anterior Cervical Corpectomy With Anterior Plate Fixation: A Rare but Life‐Threatening Complication Requiring Surgical Repair
Abstract
Anterior cervical corpectomy and fusion (ACCF) with anterior plate fixation is a common procedure for cervical spine trauma. Although generally safe, it carries a risk of esophageal perforation-a rare but potentially fatal complication. We report an 18-year-old male who developed delayed esophageal perforation 5 weeks after C4-C6 ACCF. Diagnosis was established by computed tomography showing retropharyngeal air and endoscopy confirming a full-thickness esophageal defect. Surgical removal of the hardware, primary repair with absorbable sutures, drainage, and feeding jejunostomy were performed. The patient achieved complete recovery with no leakage at six-month follow-up. This case underscores the importance of clinical vigilance and timely surgical management.
Fields of Study & Subjects
Cervical and Thoracic Myelopathy
Spinal Fractures and Fixation Techniques
Esophageal and GI Pathology
Publication details
- Journal / source
- Clinical Case Reports
- Publisher
- Wiley
- Volume
- 14
- Issue
- 1
- Pages
- e71813–e71813
- Publication date
- 1 January 2026
- Language
- EN