# Esophageal Perforation Following C4–C6 Anterior Cervical Corpectomy With Anterior Plate Fixation: A Rare but Life‐Threatening Complication Requiring Surgical Repair

## TL;DR

A rare case of delayed esophageal perforation after cervical spine surgery in a young patient is reported, emphasizing the need for timely surgical repair and monitoring.

## Contribution

The paper presents a rare clinical case of delayed esophageal perforation following cervical spine surgery and its successful surgical management.

## Key findings

- Computed tomography and endoscopy confirmed a full-thickness esophageal defect 5 weeks post-surgery.
- Surgical removal of hardware and primary repair led to complete recovery with no leakage at 6 months.
- The case highlights the importance of clinical vigilance and timely intervention to prevent fatal outcomes.

## Abstract

Anterior cervical corpectomy and fusion (ACCF) with anterior plate fixation is a common procedure for cervical spine trauma. Although generally safe, it carries a risk of esophageal perforation—a rare but potentially fatal complication. We report an 18‐year‐old male who developed delayed esophageal perforation 5 weeks after C4–C6 ACCF. Diagnosis was established by computed tomography showing retropharyngeal air and endoscopy confirming a full‐thickness esophageal defect. Surgical removal of the hardware, primary repair with absorbable sutures, drainage, and feeding jejunostomy were performed. The patient achieved complete recovery with no leakage at six‐month follow‐up. This case underscores the importance of clinical vigilance and timely surgical management.

This case highlights delayed esophageal perforation 5 weeks after anterior cervical corpectomy with anterior plate fixation in a young patient. Early recognition, prompt surgical intervention, and vigilant long‐term follow‐up are crucial to prevent life‐threatening complications.