[Dysphagia as the main symptom in anterior cervical spine osteophytes (Forestier disease and cervical spondylosis deformans). Case reports and literature review].

A V Trashin, N V Vikherev, E M Belov, V A Shamanin, V V Stepanenko
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Abstract

Anterior cervical osteophytes are a fairly common X-ray finding in people over 50 years old. Incidence of dysphagia in patients with anterior osteophytes varies from 1% in those aged 40-60 years to 10.6% in patients over 60 years old. The most common causes of anterior cervical hyperosteophytosis causing dysphagia are cervical spondylosis deformans and Forestier disease. We present 2 clinical cases of spondylogenic dysphagia in cervical spondylosis deformans and Forestier disease. The review is devoted to the causes and diagnostic methods for dysphagia caused by anterior cervical osteophytes, as well as surgical options for this pathology.

Conclusion: Microsurgical resection of anterior osteophytes is an effective method for dysphagia after ineffective therapy for 3 months. Microsurgical osteophytectomy provides stable regression of dysphagia with low recurrence rate.

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[吞咽困难是颈椎前部骨质增生(Forestier 病和颈椎变形症)的主要症状。病例报告和文献综述]。
颈椎前部骨质增生是 50 岁以上人群中相当常见的 X 射线检查结果。前方骨质增生患者吞咽困难的发生率从 40-60 岁人群的 1%到 60 岁以上人群的 10.6%不等。导致吞咽困难的颈椎前骨质增生症最常见的原因是颈椎畸形和 Forestier 病。我们介绍了两例颈椎畸形和弗雷斯蒂埃病导致的吞咽困难的临床病例。综述主要介绍了颈椎前骨质增生引起吞咽困难的原因和诊断方法,以及该病症的手术治疗方案:结论:显微外科骨质增生切除术是治疗 3 个月无效后吞咽困难的有效方法。显微外科骨质增生切除术可稳定缓解吞咽困难,且复发率低。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
75
期刊介绍: Scientific and practical peer-reviewed journal. This publication covers the theoretical, practical and organizational problems of modern neurosurgery, the latest advances in the treatment of various diseases of the central and peripheral nervous system. Founded in 1937. English version of the journal translates from Russian version since #1/2013.
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