Improved repair of cervical esophageal fistula complicating anterior spinal fusion: free omental flap compared with pectoralis major flap. Report of four cases.

Abstract

Esophageal injury is a serious complication of anterior cervical fusion. A team approach to the management of these cases is described. The authors performed spinal assessment, control of the fistula, and interposition of a vascularized flap between the spine and the esophagus. They compared the overall efficacy of the pectoralis major flap (pedicled; two cases) and omental flap (free; two cases).

• Authors: Russell R Reid, José Dutra, David B Conley, Stephen L Ondra, Gregory A Dumanian
• Journal: Journal of neurosurgery (J Neurosurg) Vol. 100 Issue 1 Suppl Spine Pg. 66-70 (Jan 2004) ISSN: 0022-3085 [Print] United States
• PMID: 14748577 (Publication Type: Case Reports, Journal Article)

Topics

• Adolescent
• Aged
• Esophageal Fistula (diagnosis, etiology, surgery)
• Esophageal Perforation (diagnosis, surgery)
• Female
• Humans
• Iatrogenic Disease
• Magnetic Resonance Imaging
• Male
• Microsurgery
• Postoperative Complications (diagnosis, etiology, surgery)
• Recurrence
• Reoperation
• Spinal Fusion (adverse effects)
• Surgical Flaps