Fig. 1. (A) Postoperative lateral radiograph of a patient with anterior discectomy and fusion at C4/5 and C5/6. (B) Impingement of the lower screws at the esophagus caused a rupture with gastrograffin leakage from the esophagus (arrow). (C) Intraoperatively, esophageal rupture was noted at the site corresponding to the prominent screw head (arrow). This patient required a pectoralis major flap for coverage of the defect.
