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Rare case of anterior cervical discectomy and fusion complication in a patient with Zenker’s diverticulum
  1. Mauro Dobran,
  2. Maurizio Gladi,
  3. Fabrizio Mancini and
  4. Davide Nasi
  1. Neurosurgery, Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Ancona, Italy
  1. Correspondence to Dr Mauro Dobran, dobran{at}


We present a case of Zenker’s diverticulum in a 45-year-old woman, occurred as complication after anterior cervical discectomy and fusion for a cervical spine injury. The oesophageal complication occurred 12 months after vertebral cervical surgery and presenting symptoms were fever, dysphagia and neck pain with evidence of retropharyngeal infection. We performed a posterior cervical stabilisation C3-D1 by screws and rods and a second anterior left cervical approach with anterior plate removing and oesophageal wall break repairing with a sternohyoid muscle patch. Despite pharyngo-oesophageal diverticulum may be a complication of anterior cervical surgery (traction diverticulum), in case of an already present true Zenker’s diverticulum, delayed complication may occur without cervical hardware pull-out.

  • neurology (drugs and medicines)
  • bone and joint infections
  • neuroimaging
  • trauma CNS /PNS
  • neurosurgery

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  • Contributors MD: Study design. MG: Elaboration data and literature research. DN: Reviewer.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.