Osteoradionecrosis, a rare complication of radiation therapy, is a slow progression disease which affects the surrounding structures of spinal components. It essentially weakens the soft tissue and bony configuration and can cause nerve impingement or cord compression. We describe a patient who underwent radiotherapy for thyroid cancer and presented with cervical kyphosis with anterolisthesis of C3/C4 and C4/C5 some 32 years later. We explore the role of anterior and posterior fusion, as well as hyperbaric oxygen therapy in promoting healing.

Rashid, Ariffin, Rhani, Baharudin, Ibrahim (2017). Osteoradionecrosis in Subaxial Cervical Spine Рa Rare and Devastating Complication: A Case Report. Malaysian orthopedic journal, 2017 Nov;11(3):53-55. https://www.ncbi.nlm.nih.gov/pubmed/29326769