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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 6, 837-840.
doi: 10.1302/0301-620X.86B6.14933  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Retro-pharyngeal obstruction in association with osteophytes of the cervical spine

S. Fuerderer, MD, Senior Registrar1; K. Eysel-Gosepath, MD, PhD, Senior Registrar1; U. Schröder, MD, Senior Registrar2; K.-S. Delank, MD, Registrar1; and P. Eysel, MD, PhD, Consultant, Head of Department1

1 Department for Orthopaedic Surgery
2 Department for ENT Surgery Cologne University Hospitals, Joseph Stelzmannstrasse 9, D-50931 Köln, Germany.

Correspondence should be sent to Dr S. Fuerderer.

We describe five patients with cervical spondylosis and large anterior osteophytes causing pharyngeal compression. All had dysphagia, two had obstructive sleep apnoea and another two had dyspnoea and stridor on inspiration. One, with perforation of the pharynx, required emergency tracheostomy. Only three had pain in the neck or arm.

Compression of the retroglottic space was confirmed in all patients by pharyngoscopy and in all the symptoms were relieved by excision of the osteophytes. Three also underwent intervertebral fusion. One had some persistent sleep apnoea.




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Letter from Mr Stuart
David Stuart
J Bone Joint Surg Br Online, 23 Feb 2005 [Full text]
Reply to Mr Stuart
Sebastian Fuerderer
J Bone Joint Surg Br Online, 23 Feb 2005 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General