A 68-year-old man underwent C5 anterior corpectomy with fusion (C4-C6) with expandable cage, autograft, and anterior instrumentation and posterior spinal decompression and fusion (C4-7) for cervical spondylotic myelopathy. He presented 5 months later with odynophagia and dysphagia, which progressed into stridor. As a part of the workup for his respiratory distress, a modified barium swallow was conducted (at this point 11 months postoperatively), which showed intermittent laryngeal penetration without aspiration.
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