ID | 55312 |
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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
ORCID
Kaken ID
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Kimata, Yoshihiro
Department of Plastic and Reconstructive Surgery, Okayama University Hospital
Kaken ID
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Ozaki, Toshifumi
Department of Orthopaedic Surgery, Okayama University Hospital
Kaken ID
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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.
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Keywords | osteoradionecrosis
laryngeal carcinoma
cervical spine
radiotherapy
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Amo Type | Case Report
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Publication Title |
Acta Medica Okayama
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Published Date | 2017-08
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Volume | volume71
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Issue | issue4
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Publisher | Okayama University Medical School
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Start Page | 345
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End Page | 349
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2017 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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