Revision surgery with fibular strut graft and anterior cervical discectomy and fusion plates: a salvage strategy in post–anterior cervical corpectomy and fusion–related delayed esophageal perforation. Illustrative case
In DPEP associated with ACDF, fibular strut allograft and short anterior cervical plates can be used to restore anterior column stability and allow reliable esophageal healing. To the authors' knowledge, this is the first detailed description of this salvage strategy in the setting of post-ACDF DPEP. https://thejns.org/doi/10.3171/CASE25856.
Authors
- Angela E. Downes
- 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)
- Andrew Jea
- Holden Husbands
- Gerardo Duran
- John F Burke
- Ali Ozturk
- M Burhan Janjua
- Chao Li
- Diego Pichardo- Rojas
- Peter G Passias
Institutions
- Duke University (US)
- Hospital of the University of Pennsylvania (US)
- Pennsylvania Hospital (US)
- Duke Medical Center (US)
- University of Oklahoma Health Sciences Center (US)
- University of Colorado Anschutz Medical Campus (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2026-02-16
- DOI
- https://doi.org/10.3171/case25856
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00