Fístula esofágica después de cirugía espinal

in past years, due to the boom of spinal surgery by an anterior cervical route, there has been an increment of esophageal traumata after these procedures. there are two different clinical scenarios: the transoperative direct injury and the late presentation by friction traction mechanisms caused by the osteosynthesis used. from the described patient the behaviors to be followed for each case are exposed emphasizing the peculiarities of surgical treatment using esophageal raphe and reinforcement of suture with tissue flaps. the intervention's initial objective, the spinal stabilization, must to take into account. we conclude that due to late presentation of the injuries after spinal surgery, it is necessary to be long-term careful for a early detection and treatment of these complications in addition to the need of the involvement of some specialties to achieve a successful solution of these eventualities.