[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-455096-105":59,"doc-detail-455096-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","bottom-to-top-a-case-report-for-treating-esophageal-cervical-spondylosis-with-giant-osteophytes","Bottom-to-top - A case report for treating esophageal cervical spondylosis with giant osteophytes","","Esophageal cervical spondylosis causes dysphagia through anterior cervical osteophyte compression, and conventional surgery may risk esophageal injury or recurrence. This case report presents a novel “bottom-to-top” technique to safely resect large, adherent osteophytes while preserving esophageal integrity. A 67-year-old man with progressive dysphagia underwent anterior C4/5 osteophyte resection, discectomy, and interbody fusion, with marked 1-year symptom improvement and favorable imaging alignment; mild regrowth occurred at 3 years without dysphagia recurrence.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/bottom-to-top-a-case-report-for-treating-esophageal-cervical-spondylosis-with-giant-osteophytes/455096/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/bottom-to-top-a-case-report-for-treating-esophageal-cervical-spondylosis-with-giant-osteophytes/455096.png","ImageObject",300,407,{"name":92,"@type":93},"Fans","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-05","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What problem does the “bottom-to-top” technique aim to solve in esophageal cervical spondylosis?","Question",{"text":113,"@type":114},"It is designed to safely resect large, adherent anterior cervical osteophytes while minimizing esophageal adhesion damage, reducing the risks of esophageal injury and recurrence compared with existing methods.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did the patient’s swallowing function change after surgery?",{"text":118,"@type":114},"The Eating Assessment Tool-10 score decreased from 18 preoperatively to 0 at the 1-year follow-up, indicating substantial improvement in dysphagia.",{"name":120,"@type":111,"acceptedAnswer":121},"What longer-term outcomes were observed regarding osteophyte regrowth and dysphagia?",{"text":122,"@type":114},"At 3 years, mild neck stiffness and partial osteophyte regrowth were noted, but there was no recurrence of dysphagia.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},455096,1790794530,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},5909892330395,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","®  \n Clinical Case Report   \nBottom-to-top  \nA case report for treating esophageal cervical spondylosis with giant osteophytes  \nLei Chen, MMa , Shineng Lin, MMa , Zhenyu Shi, MDa , Qinwen Ge, MDa , Ju Li, MDa , Jinmin Liu, MBBSa , Peijian Tong, MDa , Taotao Xu, MDa , Yiqing Ling, MDa ,*  \n\n| Abstract\u003Cbr>Rationale: Esophageal cervical spondylosis is a rare condition characterized by dysphagia due to anterior cervical osteophyte compression. Existing surgical methods carry risks of esophageal injury and recurrence. This study introduces a novel “bottomto-top” technique designed to safely resect large, adherent osteophytes while preserving esophageal integrity.\u003Cbr>Patient concerns: A 67-year-old male presented with progressive dysphagia over one year, severely affecting food intake. His preoperative Eating Assessment Tool-10 score was 18, indicating significant swallowing impairment.\u003Cbr>Diagnoses: Imaging revealed significant anterior longitudinal ligament calcification and large osteophytes from C4 to C7, compressing the esophagus. The patient was diagnosed with esophageal cervical spondylosis after excluding gastrointestinal and other otorhinolaryngological disorders.\u003Cbr>Interventions: The patient underwent anterior C4/5 osteophyte resection, discectomy, and interbody fusion using the “bottomto-top” approach, which involved resecting the osteophyte base first and progressing upward to minimize esophageal adhesion damage.\u003Cbr>Outcomes: Immediate postoperative improvement in dysphagia was observed. The Eating Assessment Tool-10 score decreased from 18 preoperatively to 0 at 1-year follow-up. Radiographs at 1 year showed satisfactory implant alignment without significant recurrence. At 3 years, mild neck stiffness and partial osteophyte regrowth were noted, but no recurrence of dysphagia occurred.\u003Cbr>Lessons: The “bottom-to-top” technique is effective for safely resecting large, adherent osteophytes in esophageal cervical spondylosis, reducing intraoperative esophageal injury and maintaining functional improvement. Long-term monitoring is essential due to the possibility of anatomical recurrence. This approach holds promise for similar challenging cases, though further studies are needed to optimize rehabilitation and prevent recurrence.\u003Cbr>Abbreviations: DISH = diffuse idiopathic skeletal hyperostosis, MRI = magnetic resonance imaging. |\n| --- |\n| Keywords: esophageal cervical spondylosis, giant osteophytes, surgical technique |\n\n1. Introduction  \nCervical spondylosis refers to a group of disorders caused by degenerative changes in the cervical intervertebral discs and  \nsubsequent pathological changes in adjacent structures. These changes may involve surrounding tissues such as nerves and blood vessels, leading to clinical manifestations consistent with imaging findings. [1] Clinically, cervical spondylosis is typically  \nCL and SL contributed to this article equally.  \nThis work was supported by grants from the Traditional Chinese Medicine Science and Technology Program of Zhejiang Province (No. 2023ZL367), National Natural Science Foundation of Zhejiang Province (No. LY24H270001), National Natural Science Foundation of China (No. 81904223), and 2024 Zhejiang Chinese Medicine University Cultivation Plan for Top Innovative Talents of Postgraduates (No. 2024YJSBJ011).  \nWritten informed consent was obtained from the patient for publication of their clinical details and any identifying images.  \nThe authors have no conflicts of interest to disclose.  \nThe datasets generated during and/or analyzed during the current study are not publicly available, but are available from the corresponding author on reasonable request.  \nThis case report was reviewed and approved by the Ethics Committee of The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine) at 2024-KLS-660-01. The study was conducted in accordance with the principles of the Declaration of Helsinki, and informed con","cbCaivUjX7krgbVv","https://ap.wps.com/l/cbCaivUjX7krgbVv","pdf",627509,"English","# Abstract\n## Rationale\n## Patient concerns\n## Diagnoses\n## Interventions\n## Outcomes\n## Lessons\n# Keywords\n# Introduction","[{\"question\":\"What problem does the “bottom-to-top” technique aim to solve in esophageal cervical spondylosis?\",\"answer\":\"It is designed to safely resect large, adherent anterior cervical osteophytes while minimizing esophageal adhesion damage, reducing the risks of esophageal injury and recurrence compared with existing methods.\"},{\"question\":\"How did the patient’s swallowing function change after surgery?\",\"answer\":\"The Eating Assessment Tool-10 score decreased from 18 preoperatively to 0 at the 1-year follow-up, indicating substantial improvement in dysphagia.\"},{\"question\":\"What longer-term outcomes were observed regarding osteophyte regrowth and dysphagia?\",\"answer\":\"At 3 years, mild neck stiffness and partial osteophyte regrowth were noted, but there was no recurrence of dysphagia.\"}]","Bottom-to-top - A case report for treating esophageal cervical spondylosis with giant osteophytes | PDF",1790742104,15]