case_images: PMC7193212_01
case_images: Barium swallow test showing narrowing of esophageal lumen at C4-C5 levels.
case_images: SNI-11-69-g001.jpg
case_images: PMC7193212_01_SNI-11-69-g001.jpg
case_images: F1
case_images: The barium swallow showed a narrowed esophageal lumen at the C4-C5 level [Figure 1].
case_images: Diffuse idiopathic skeletal hyperostosis-related large anterior osteophytes at C4-C5 and C3-C4 compressing trachea and esophagus from behind.
case_images: SNI-11-69-g002.jpg
case_images: PMC7193212_01_SNI-11-69-g002.jpg
case_images: F2
case_images: X-ray and computed tomography studies revealed the classical "Ostrich beak" changes of the ossified ALL at the C4-C5 level; the disc spaces were preserved [Figures 2 and 3].
case_images: Computed tomography axial cut showing large anterior osteophyte at C4-C5 level impinging on the esophagus and trachea.
case_images: SNI-11-69-g003.jpg
case_images: PMC7193212_01_SNI-11-69-g003.jpg
case_images: F3
case_images: X-ray and computed tomography studies revealed the classical "Ostrich beak" changes of the ossified ALL at the C4-C5 level; the disc spaces were preserved [Figures 2 and 3].
case_images: Large osteophyte that was removed in piece meal.
case_images: SNI-11-69-g004.jpg
case_images: PMC7193212_01_SNI-11-69-g004.jpg
case_images: F4
case_images: Utilizing an anterior cervical approach, the large beak-like osteophyte was removed, while preserving the anterior annulus; the extent and adequacy of resection was confirmed intraoperatively utilizing a lateral radiograph [Figures 4 and 5].
case_images: Postoperative lateral view of cervical spine X-ray.
case_images: SNI-11-69-g005.jpg
case_images: PMC7193212_01_SNI-11-69-g005.jpg
case_images: F5
case_images: Utilizing an anterior cervical approach, the large beak-like osteophyte was removed, while preserving the anterior annulus; the extent and adequacy of resection was confirmed intraoperatively utilizing a lateral radiograph [Figures 4 and 5].