case_images: PMC4325201_01
case_images: Plain radiograph, lateral view, of the cervical spine demonstrates air that appears to be communicating with plate.
case_images: CRIOR2015-173687.001.jpg
case_images: PMC4325201_01_CRIOR2015-173687.001.jpg
case_images: fig1
case_images: At the time of her presentation, her plain film radiography (Figure 1) and computed tomography (CT) of the cervical spine (Figure 2) revealed nonhealing posterior pseudarthrosis with local kyphosis, screw loosening, plate migration, and air communicating with the plate raising concern for esophageal perforation.
case_images: Sagittal CT view shows evidence of pseudarthrosis, lucency around screws at C3 and C7, and anterolisthesis of C2 in relation to C3, with the C2 vertebra overriding the superior aspect of the metallic plate.
case_images: CRIOR2015-173687.002.jpg
case_images: PMC4325201_01_CRIOR2015-173687.002.jpg
case_images: fig2
case_images: At the time of her presentation, her plain film radiography (Figure 1) and computed tomography (CT) of the cervical spine (Figure 2) revealed nonhealing posterior pseudarthrosis with local kyphosis, screw loosening, plate migration, and air communicating with the plate raising concern for esophageal perforation.
case_images: Direct laryngoscopy with telescopic visualization of pharyngeal defect with exposed hardware.
case_images: CRIOR2015-173687.003.jpg
case_images: PMC4325201_01_CRIOR2015-173687.003.jpg
case_images: fig3
case_images: A pharyngeal defect with exposure of the spinal hardware was noted in the posterior pharynx in the midline (Figure 3).