{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T16:18:36Z","timestamp":1787415516948,"version":"build-2736575974"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nA 69-year-old male, who underwent a C5-T1 ACDF 5-years prior to arrival, presented with a ventral pharyngeal abscess and esophageal perforation warranting major gastro-esophageal surgery and instrumentation removal.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nThe case of a patient who underwent a C5-T1 ACDF five years ago was reviewed. A review of past reports of cases of patients who experienced esophageal erosion or perforation following ACDF was conducted.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nAt the age of 69, the patient acutely developed disorientation\/agitation and urinary\/fecal incontinence. Lab studies showed leukocytosis, an elevated creatine phosphokinase (CPK), and lactic acidosis, while the EKG confirmed a non-ST-elevation myocardial infarction (NSTEMI) with increased troponins. An esophagram revealed esophageal perforation, and a prevertebral C5-C6 abscess, and neck\/thoracic CT studies documented 8-9 mm anterior displacement of the right inferior C7 screw with extravasation extending inferiorly into the mediastinum. Surgery consisted of an esophagogastroduodenoscopy, gastric\/jejunal tube placement, left neck exploration, and dissection of the esophagus off the anterior instrumentation that was subsequently removed. Despite emergent surgical intervention, the patient expired 5 days postoperatively.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nNeurosurgical follow-up is warranted in ACDF patients who newly present with findings indicative of with anterior retropharyngeal abscess or esophageal perforation.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_242_2025","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:23:45Z","timestamp":1753439025000},"page":"299","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Delayed presentation of esophageal perforation from anterior cervical discectomy and fusion hardware failure in a patient presenting with non-ST-elevation myocardial infarction: An illustrative technical note"],"prefix":"10.25259","volume":"16","author":[{"given":"Tyler Nicole","family":"Lackland","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Saint Louis University, St. Louis, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayur","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saint Louis University, St. Louis, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen Suzann","family":"Botterbush","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saint Louis University, St. Louis, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J.","family":"Platz","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Saint Louis University, St. Louis, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauricio J.","family":"Avila","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saint Louis University, St. Louis, Missouri, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"10.25259\/SNI_242_2025\/ref-1","doi-asserted-by":"crossref","first-page":"276","DOI":"10.4103\/2229-5151.124164","article-title":"Esophageal perforation following cervical spine surgery: A review with considerations in airway management","volume":"3","author":"Amhaz","year":"2013","journal-title":"Int J Crit Illn Inj Sci"},{"key":"10.25259\/SNI_242_2025\/ref-2","doi-asserted-by":"crossref","first-page":"28S","DOI":"10.1177\/2192568216687535","article-title":"Esophageal perforation following anterior cervical spine surgery: Case report and review of the literature","volume":"7","author":"Hershman","year":"2017","journal-title":"Glob Spine J"},{"key":"10.25259\/SNI_242_2025\/ref-3","article-title":"Esophageal perforation and tears","volume-title":"StatPearls","author":"Kassem","year":"2024"},{"key":"10.25259\/SNI_242_2025\/ref-4","first-page":"7682654","article-title":"Esophageal perforation due to anterior cervical spine hardware placement: Case series","volume":"2019","author":"Lee","year":"2019","journal-title":"Int J Otolaryngol"},{"key":"10.25259\/SNI_242_2025\/ref-5","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s12178-017-9398-3","article-title":"Cervical disc replacement surgery: Indications, technique, and technical pearls","volume":"10","author":"Leven","year":"2017","journal-title":"Curr Rev Musculoskelet Med"},{"key":"10.25259\/SNI_242_2025\/ref-6","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1007\/s00264-007-0369-y","article-title":"Anterior cervical locking plate-related complications; prevention and treatment recommendations","volume":"32","author":"Ning","year":"2008","journal-title":"Int Orthop"},{"key":"10.25259\/SNI_242_2025\/ref-7","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.ejcts.2010.01.030","article-title":"The influence of the \u2018golden 24h rule\u2019 on the prognosis of oesophageal perforation in the modern era","volume":"38","author":"Shaker","year":"2010","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.25259\/SNI_242_2025\/ref-8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/1757-7241-19-66","article-title":"Esophageal perforation: Diagnostic work-up and clinical decision-making in the first 24 hours","volume":"19","author":"S\u00f8reide","year":"2011","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"10.25259\/SNI_242_2025\/ref-9","doi-asserted-by":"crossref","first-page":"e189","DOI":"10.1016\/j.wneu.2021.12.110","article-title":"Pharyngoesophageal damage from hardware extrusion at an average of 7.5 years after anterior cervical diskectomy and fusion: A case series, discussion of risk factors, and guide for management","volume":"160","author":"Yahanda","year":"2022","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_242_2025\/ref-10","doi-asserted-by":"crossref","first-page":"e22.00080","DOI":"10.5435\/JAAOSGlobal-D-22-00080","article-title":"Delayed esophageal perforation diagnosed 12 years after anterior cervical diskectomy and fusion: A case report and review of current literature","volume":"6","author":"Zakko","year":"2022","journal-title":"JAAOS Glob Res Rev"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/delayed-presentation-of-esophageal-perforation-from-anterior-cervical-discectomy-and-fusion-hardware-failure-in-a-patient-presenting-with-non-st-elevation-myocardial-infarction-an-illustrative-techni\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/delayed-presentation-of-esophageal-perforation-from-anterior-cervical-discectomy-and-fusion-hardware-failure-in-a-patient-presenting-with-non-st-elevation-myocardial-infarction-an-illustrative-techni\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:23:46Z","timestamp":1753439026000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/delayed-presentation-of-esophageal-perforation-from-anterior-cervical-discectomy-and-fusion-hardware-failure-in-a-patient-presenting-with-non-st-elevation-myocardial-infarction-an-illustrative-techni\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,25]]},"references-count":10,"alternative-id":["10.25259\/SNI_242_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_242_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7,25]]},"article-number":"299"}}