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Endoscopic extruded screw removal after anterior cervical disc fusion: technical case report.

Lee WJ, Sheehan JM, Stack BC

Division of Otolaryngology, Penn State University College of Medicine, Hershey Medical Center, Hershey, Pennsylvania, USA.

OBJECTIVE AND IMPORTANCE: Symptomatic complications related to screw migration and extrusion after anterior cervical disc fusion are uncommon. CLINICAL PRESENTATION: We report a case of significant dysphagia owing to late screw migration. INTERVENTION: An endoscopic transpharyngeal removal was performed without pharyngeal closure and with relief of symptoms. CONCLUSION: A transpharyngeal endoscopic approach to remove loose anterior cervical hardware is feasible and warrants further evaluation.

Published 10 March 2006 in Neurosurgery, 58(3): E589; discussion E589.
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