A Benhamdane*, T Adioui, B Aourarh, S Berrag and M Tamzaourte

Gastro Enterolgy I, Military Hospital Mohamed V, Morocco

*Corresponding Author: A Benhamdane, Gastro Enterolgy I, Military Hospital Mohamed V, Morocco.

Received: October 28, 2023; Published: December 15, 2023

Abstract

Anterior cervical osteophytosis is a non-inflammatory affection characterized by calcification or ossification of the anterolateral paravertebral ligaments in the cervical spine. They are common in elderly patients and may cause dysphagia. They are usually asymptomatic.
Anterior cervical osteophytes represent 1.6% of the etiologies of dysphagia in elderly patients [1].
In this report, a 76-year-old female presented with dysphagia. Cervical CT scan showed anterior and posterior marginal osteophytes, cervical compression at the C4-C5 and C5-C6 levels, C3-C4 antelisthesis and pseudoarthrosis of C7. The oesogastroduodenal transit showed a staged compression of the posterior esophagus. The treatment was symptomatic, based on non-steroidal anti-inflammatory drugs and analgesics. The patient has been lost to follow-up since then.
Although they are rarely involved in the etiology of dysphagia, it is important to investigate in elderly patients. Diagnosis is made by CT scan or VFSS. Treatment is most often conservative with speech therapy for swallowing but surgery is very effective.

Keywords: Anterior Cervical Osteophytosis; Dysphagia; Elderly

References

1. Verlaan JJ., et al. “Diffuse idiopathic skeletal hyperostosis of the cervical spine: an underestimated cause of dysphagia and airway obstruction”. Spine Journal11 (2011): 1058-1067.
2. Sebaaly A., et al. “Diffuse Idiopathic hyperostosis manifesting as dysphagia and bilateral cord paralysis: a case report and literature review”. World Neurosurgery10 (2018): 79-85.
3. Kim SK., et al. “The prevalence of diffuse idiopathic skeletal hyperostosis in Korea”. Journal of Rheumatology 31 (2004): 2032-2035.
4. Seidler TO., et al. “Dysphagia caused by ventral osteophytes of the cervical spine: clinical and radiographic findings”. European Archives of Otorhinolaryngology2 (2009): 285-291.
5. Lecerf P and Malard O. “How to diagnose and treat symptomatic anterior cervical osteophytes?” European Annals of Oto-Rhino-Laryngology, Head and Neck Diseases 3 (2010): 111-116.
6. Kodoma M., et al. “Dysphagia caused by an anterior cervical osteophyte: case report”. Neuroradiology 37 (1995): 58-59.
7. Choi HE., et al. “Characteristics and clinical course of dysphagia caused by anterior cervical osteophyte”. Annals of Rehabilitation Medicine 1 (2019): 27-37.
8. Ruetten S., et al. “Surgical treatment of anterior cervical osteophytes causing dysphagia”. Journal of Orthopaedic Surgery (Hong Kong)2 (2019): 2309499019837424.
9. Aires M., et al. “Dysphagia due to anterior cervical osteophytosis: case report”. CoDAS 2 (2022): e20200435.

Citation

Citation: A Benhamdane., et al. “Anterior Cervical Osteophytosis: An Uncommon Cause of Dysphagia".Acta Scientific Gastrointestinal Disorders 7.1 (2024): 19-21.

Copyright

Copyright: © 2024 A Benhamdane., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.