{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:38:09Z","timestamp":1771234689156,"version":"3.50.1"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nAnterior cervical disc arthroplasty (ACDA) may rarely result in esophageal perforation.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 56-year-old male underwent a C5\u2013c6 ACDA for a cervical disc herniation. Three months postoperatively, trauma led to anterior dislocation of the interbody prosthesis, resulting in the acute onset of dysphagia accompanied by wound drainage. The delayed diagnosis of esophageal perforation was established when the cervical computed tomography documented anterior migration of the screws\/plates and an air\/fluid level in the surgical field. Despite a multidisciplinary approach, including anterior surgical revision followed by posterior stabilization, the patient became septic and expired.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe incidence of esophageal perforation following ACDA ranges from 0.02% to 1.52%, with hardware failure being the leading cause. Prompt recognition and multidisciplinary management are essential for optimizing patient outcomes. Here, trauma-induced prosthesis dislocation warranting circumferential surgery failed to control sepsis, and the patient died.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1108_2024","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T09:32:40Z","timestamp":1738920760000},"page":"39","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Delayed esophageal perforation following anterior cervical disc arthroplasty: A case of trauma-induced prosthesis dislocation and hardware failure"],"prefix":"10.25259","volume":"16","author":[{"given":"Numan","family":"Karaarslan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmut","family":"Demirkol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deniz","family":"Alyanak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Herdan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Aladdam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet Faruk","family":"\u00d6zdemir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidayet Safak","family":"Cine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"10.25259\/SNI_1108_2024\/ref-1","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.wneu.2017.02.130","article-title":"Management of esophageal and pharyngeal perforation as complications of anterior cervical spine surgery","volume":"102","author":"Kang","year":"2017","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_1108_2024\/ref-2","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1159\/000475902","article-title":"Two cases of esophageal injury following anterior cervical discectomy and fusion: One overt and one covert","volume":"24","author":"Krishnan","year":"2017","journal-title":"Ann Neurosci"},{"key":"10.25259\/SNI_1108_2024\/ref-3","first-page":"404","article-title":"Short-term and long-term complications of cervical disc arthroplasty","volume":"36","author":"Nguyen","year":"2023","journal-title":"Clin Spine Surg"},{"key":"10.25259\/SNI_1108_2024\/ref-4","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1093\/ejcts\/ezw292","article-title":"Pharyngo-oesophageal perforation following anterior cervical discectomy and fusion: management and results","volume":"51","author":"Perrone","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.25259\/SNI_1108_2024\/ref-5","doi-asserted-by":"crossref","first-page":"302","DOI":"10.21037\/jss.2020.01.14","article-title":"Complications of anterior cervical spine surgery: A systematic review of the literature","volume":"6","author":"Yee","year":"2020","journal-title":"J Spine Surg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/delayed-esophageal-perforation-following-anterior-cervical-disc-arthroplasty-a-case-of-trauma-induced-prosthesis-dislocation-and-hardware-failure\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/delayed-esophageal-perforation-following-anterior-cervical-disc-arthroplasty-a-case-of-trauma-induced-prosthesis-dislocation-and-hardware-failure\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T09:32:46Z","timestamp":1738920766000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/delayed-esophageal-perforation-following-anterior-cervical-disc-arthroplasty-a-case-of-trauma-induced-prosthesis-dislocation-and-hardware-failure\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,7]]},"references-count":5,"alternative-id":["10.25259\/SNI_1108_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_1108_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,7]]},"article-number":"39"}}