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A rare cause of dysphagia: compression of the esophagus by an anterior cervical osteophyte due to ankylosing spondylitis

  • Albayrak, Ilknur (Department of Physical Therapy and Rehabilitation, Beysehir Public Hospital) ;
  • Bagcaci, Sinan (Department of Physical Therapy and Rehabilitation, Selcuk University Meram Faculty of Medicine) ;
  • Salli, Ali (Department of Physical Therapy and Rehabilitation, Selcuk University Meram Faculty of Medicine) ;
  • Kucuksen, Sami (Department of Physical Therapy and Rehabilitation, Selcuk University Meram Faculty of Medicine) ;
  • Ugurlu, Hatice (Department of Physical Therapy and Rehabilitation, Selcuk University Meram Faculty of Medicine)
  • 투고 : 2012.02.07
  • 심사 : 2012.09.17
  • 발행 : 2013.09.01

초록

Ankylosing spondylitis (AS) is a chronic inflammatory rheumatological disease affecting the axial skeleton with various extra-articular complications. Dysphagia due to a giant anterior osteophyte of the cervical spine in AS is extremely rare. We present a 48-year-old male with AS suffering from progressive dysphagia to soft foods and liquids. Esophagography showed an anterior osteophyte at C5-C6 resulting in esophageal compression. The patient refused surgical resection of the osteophyte and received conservative therapy. However, after 6 months there was no improvement in dysphagia. This case illustrates that a large cervical osteophyte may be the cause of dysphagia in patients with AS and should be included in the diagnostic workup in early stages of the disease.

키워드

참고문헌

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피인용 문헌

  1. Dysphagia Related to Esophagus Compression by Anterior Cervical Ossification in a Patient with Ankylosing Spondylitis vol.42, pp.10, 2015, https://doi.org/10.3899/jrheum.150449
  2. A Case of a Paracardial Osteophyte Causing Atrial Compression vol.2016, pp.None, 2013, https://doi.org/10.1155/2016/4325830
  3. Prospective Multicenter Assessment of Early Complication Rates Associated With Adult Cervical Deformity Surgery in 78 Patients vol.79, pp.3, 2013, https://doi.org/10.1227/neu.0000000000001129
  4. DISFAGIA SECUNDÁRIA A OSTEÓFITOS EM COLUNA CERVICAL: RELATO DE CASO vol.57, pp.suppl1, 2013, https://doi.org/10.1016/j.rbr.2017.06.081
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  10. Factors which predict adverse events following surgery in adults with cervical spinal deformity vol.b103, pp.4, 2013, https://doi.org/10.1302/0301-620x.103b4.bjj-2020-0845.r2