Anterior cervical osteophytes causing dysphagia and dyspnoea

A 75-year-old man presents to his general practitioner (GP) with dyspnoea, and dysphagia to liquids and solids, with regurgitation causing recurrent episodes of dyspnoea. He had a background of osteoarthritis, was an ex heavy smoker and had undergone coronary artery bypass graft five years previousl...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2021-07, Vol.103 (7), p.e209-e211
Main Authors: Barker, T, Gill, D, Khatun, F, Lutchman, L
Format: Article
Language:English
Subjects:
Aged
Arthritis
Asymptomatic
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - surgery
Debridement
Deglutition Disorders - etiology
Deglutition Disorders - surgery
Dysphagia
Dyspnea
Dyspnea - etiology
Dyspnea - surgery
Humans
Male
Neck
Online Case Report
Orthopedic Procedures
Orthopedics
Osteoarthritis
Osteophyte - complications
Osteophyte - diagnosis
Osteophyte - surgery
Patients
Surgery
Tomography, X-Ray Computed
Treatment Outcome
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Summary:A 75-year-old man presents to his general practitioner (GP) with dyspnoea, and dysphagia to liquids and solids, with regurgitation causing recurrent episodes of dyspnoea. He had a background of osteoarthritis, was an ex heavy smoker and had undergone coronary artery bypass graft five years previously. After several emergency admissions, initial investigation by the GP, and referral to ear, nose and throat specialists with no cause for dysphagia found, he underwent computed tomography imaging of the neck and thorax which demonstrated large cervical osteophytes at the level of C3-C4. He was referred to spinal orthopaedics and after multidisciplinary team discussion the cervical osteophytes were removed via an anterior approach, resulting in complete resolution of his symptoms.
ISSN:0035-8843
1478-7083
DOI:10.1308/rcsann.2020.7062