Swallowing Problems

Treatment of Anterior Cervical Osteophytes

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Anterior cervical osteophytes are common bony growths on the front of the spine. Most patients have no symptoms from the osteophytes. But occasionally, these small bony lumps will push against the back of the throat and make swallowing difficult. The condition is usually evaluated and treated by physicians in the department of Otorhinolaryngology and/or a speech-language pathologist.

Videofluoroscopy is a noninvasive diagnostic test used to observe whether anterior cervical osteophytes are causing problems with swallow function. Manofluorography is another way to evaluate this problem. This test can establish whether the osteophytes are increasing the pressure gradient in the throat during swallowing. If so, surgical removal of the osteophytes greatly improves swallowing.

Since the cervical osteophytes are behind the throat, an external opening through the skin is required. The throat is moved forward, and the bony bumps are removed. The procedure requires general anesthesia and an overnight stay in the hospital. Complications are rare.