Outcomes of Repair for Delayed Esophageal Perforation after Anterior Cervical Discectomy and Fusion: A Systematic Review and Case Series
ACDF-related DPEP typically manifests months to years after surgery. Combined instrumentation removal with vascularized flap coverage is associated with high rates of durable closure and low mortality. Our contemporary series adds granular operative details and illustrates feasibility of vascularized flap reinforcement in selected patients.
Authors
- Jose Sanclement
- Matthan Tharakan
- Hakeem J Shakir (ORCID: https://orcid.org/0000-0003-4234-340X)
- Zachary A. Smith (ORCID: https://orcid.org/0009-0002-8889-1495)
- Sanaa Hameed
- Chao Li
- Holden Husbands
- Gerardo Duran
- John F. Burke
- Bilal Baha
- M. Burhan Janjua
Institutions
- University of Oklahoma Health Sciences Center (US)
Publication Details
- Journal
- World Neurosurgery
- Published
- 2026-02-14
- DOI
- https://doi.org/10.1016/j.wneu.2026.124850
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00