ESOPHAGEAL INJURIES AFTER FIXATION OF CERVICAL VERTEBRAS WITH IMPLANTS
The team has carried out the analysis of treatment of14 patients with injured esophagus after fixation of cervical vertebras with implants. Three mechanisms of esophageal injury were separated. The complications had been confirmed by roentgenography of esophagus and CT. All patients underwent operations. The operation characteristics depended ofesophageal layer's alterations, size ofperforation, kind of injury and mediastinitis. If there is not significant inflammation of esophageal wall the primary suturing is indicated. In case of purulent and necrotic changes and relapse of fistula the partial suturing of defect with through luminal transesophageal draining of mediastinum has to be performed. The suturing of esophageal defect and covering of sutures by m. sternocleidomastoideus with through luminal transesophageal draining has the priority before suturing without draining.