PMC7193212_01
Barium swallow test showing narrowing of esophageal lumen at C4-C5 levels.
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F1
The barium swallow showed a narrowed esophageal lumen at the C4-C5 level [Figure 1].
Diffuse idiopathic skeletal hyperostosis-related large anterior osteophytes at C4-C5 and C3-C4 compressing trachea and esophagus from behind.
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F2
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].
Computed tomography axial cut showing large anterior osteophyte at C4-C5 level impinging on the esophagus and trachea.
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F3
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].
Large osteophyte that was removed in piece meal.
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F4
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].
Postoperative lateral view of cervical spine X-ray.
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F5
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].