Commonly cervical spondylosis and ankylosing hyperostosis of the cervical vertebrae pass asymptomatic. This is a report of a patient with massive anterior cervical osteophytes resulting in failure of intubation prior to a lumbar canal stenosis surgery. Osteophytes extended from C3 to C7 and resulted in anterior displacement of the pharynx and the trachea respectively. The patient was managed successfully with anterior cervical osteophytectomy without fusion.
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