ID 55312
JaLCDOI
FullText URL
Thumnail 71_4_345.pdf 5.72 MB
Author
Tanaka, Masato Department of Orthopaedic Surgery, Okayama University Hospital
Sugimoto, Yoshihisa Department of Orthopaedic Surgery, Okayama University Hospital
Takigawa, Tomoyuki Department of Orthopaedic Surgery, Okayama University Hospital
Kimata, Yoshihiro Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Ozaki, Toshifumi Department of Orthopaedic Surgery, Okayama University Hospital
Abstract
Osteoradionecrosis (ORN), a well-known complication of radiotherapy in the mandibular bone, is very rare in the cervical spine. The authors report the result of a 3-year follow-up of a 63-year-old female patient with ORN of the cervical spine. The patient had a history of laryngeal carcinoma and was treated with chemotherapy and radiation therapy with a total of 120 Gy. Eight years later, she developed acute, severe neck pain due to cervical spine necrosis. The authors performed vascularized fibular bone graft and posterior pedicle screw fixation to reconstruct her cervical spine. The patient was successfully treated with surgery, and cervical alignment was preserved. She had neither neurological deficits nor severe neck pain at her final follow-up 3 years later. Delaying treatment of ORN may be life threatening, so the early diagnosis of this condition is important for patients who receive radiotherapy. Otolaryngologists and spine surgeons should understand this potential complication to speed diagnosis and treatment as early as possible.
Keywords
osteoradionecrosis
laryngeal carcinoma
cervical spine
radiotherapy
Amo Type
Case Report
Published Date
2017-08
Publication Title
Acta Medica Okayama
Volume
volume71
Issue
issue4
Publisher
Okayama University Medical School
Start Page
345
End Page
349
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2017 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID