1. Management of Cervical Esophageal Injury After Spinal Surgery
Natasha Rueth, MD, Darcy Shaw, MD, Shawn Groth, MD, Sarah Stranberg, MA, CCC-SLP, Jonathan D'Cunha, MD, PhD, Jonathan Sembrano, MD, Michael Maddaus, MD, Rafael Andrade, MD 
The Annals of Thoracic Surgery 
Volume 90, Issue 4, Pages (October 2010)
DOI: /j.athoracsur
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2. Fig 1
(A) Intraoperative image of patient with osteomyelitis and vertebral body destruction. Anterior cervical cage is protruding through destroyed vertebral body. The anterior plate has been removed. (B) Intraoperative image of a low cervical esophageal perforation. The esophageal edges have been debrided, and the esophagoscope is visible in the defect prior to primary closure.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3. Fig 2
Computed tomographic scan demonstrating esophageal perforation. The white arrow points to the cervical hardware, the black arrow shows air in the soft tissues.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4. Fig 3
Algorithm summarizing standardized management approach. (ACS = anterior cervical spine.)
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur )
Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions