경추부 전종인대골화증에 의한 연하곤란증 = Dysphagia Caused by Ossificaion of the Cervical Anterior Longitudial Ligament - Report of Two Cases -

다국어 초록 (Multilingual Abstract)

We report two cases with progressive dysphagia and foreign body sensation resulted from severe cervical ossification
of the anterior longitudinal ligament (OALL). A 63-years-old male presented progressive dysphagia and foreign body
sensation with neck pain. Cervical computed tomography (CT) and magnetic resonance images (MRI) revealed diffuse
OALL from C2 to C7 with esophageal compression by most severe OALL of C5, C6, C7 and spondylotic stenosis of C5-
6, C6-7. OALL removal of C5, 6, 7 and discectomy with interbody fusion via anterior approach was performed. The other
56-years-old female presented progressive dysphagia with foreign body sensation. Cervical CT and MRI revealed severe
OALL of C4, 5, 6, 7 with esophageal compression and surgical removal was performed. In both patients, dysphagia
and foreign body sensation was immediately relieved after operation and the distance between trachea and each
cervical body was increased than preoperative distance in cervical lateral view.

다국어 초록 (Multilingual Abstract)

We report two cases with progressive dysphagia and foreign body sensation resulted from severe cervical ossification
of the anterior longitudinal ligament (OALL). A 63-years-old male presented progressive dysphagia and foreign body
sensation with neck pain. Cervical computed tomography (CT) and magnetic resonance images (MRI) revealed diffuse
OALL from C2 to C7 with esophageal compression by most severe OALL of C5, C6, C7 and spondylotic stenosis of C5-
6, C6-7. OALL removal of C5, 6, 7 and discectomy with interbody fusion via anterior approach was performed. The other
56-years-old female presented progressive dysphagia with foreign body sensation. Cervical CT and MRI revealed severe
OALL of C4, 5, 6, 7 with esophageal compression and surgical removal was performed. In both patients, dysphagia
and foreign body sensation was immediately relieved after operation and the distance between trachea and each
cervical body was increased than preoperative distance in cervical lateral view.

참고문헌 (Reference)

1 Castell DO, "Evaluation of dysphagia: a careful history is crucial" 2 (2): 65-71, 198

2 Palmer JB, "Evaluation and treatment of swallowing impairments" 61 : 2453-2462, 2000

3 Bone RC, "Evaluation and correction of dysphagia-producing cervical osteophytosis" 84 : 2045-2050, 1974

4 Hirano H, "Dysphagia due to hypertrophic cervical osteophytes" 167 : 168-172, 1982

5 Eviatar E, "Diffuse idiopathic skeletal hyperostosis with dysphagia" 101 : 627-633, 1987

6 Lambert JR, "Cervical spine disease and dysphagia. Four new cases and a review of the literature" 76 : 35-40, 1981

7 Sobol SM, "Anterolateral extrapharyngeal approach for clinical osteophyte-induced dysphagia. Literature review" 93 : 498-504, 1984

8 Granville L, "Anterior cervical osteophytes as a cause of pharyngeal stage dysphagia" 46 : 1003-1007, 1998