Cervical Backbone Osteoradionecrosis.
Acta Med Okayama. 2017 Aug;71(four):345-349
Authors: Tanaka M, Sugimoto Y, Takigawa T, Kimata Y, Ozaki T
Osteoradionecrosis (ORN), a widely known complication of radiotherapy within the mandibular bone, may be very uncommon within the cervical backbone. The authors report the results of a Three-year follow-up of a 63-year-old feminine affected person with ORN of the cervical backbone. The affected person had a historical past of laryngeal carcinoma and was handled with chemotherapy and radiation remedy with a complete of 120 Gy. Eight years later, she developed acute, extreme neck ache as a result of cervical backbone necrosis. The authors carried out vascularized fibular bone graft and posterior pedicle screw fixation to reconstruct her cervical backbone. The affected person was efficiently handled with surgical procedure, and cervical alignment was preserved. She had neither neurological deficits nor extreme neck ache at her closing follow-up Three years later. Delaying remedy of ORN could also be life threatening, so the early prognosis of this situation is essential for sufferers who obtain radiotherapy. Otolaryngologists and backbone surgeons ought to perceive this potential complication to hurry prognosis and remedy as early as doable.
PMID: 28824191 [PubMed – indexed for MEDLINE]