Esophageal Perforation Following <scp>C4</scp> – <scp>C6</scp> Anterior Cervical Corpectomy With Anterior Plate Fixation: A Rare but Life‐Threatening Complication Requiring Surgical Repair

Anterior cervical corpectomy and fusion (ACCF) with anterior plate fixation is a common procedure for cervical spine trauma. Although generally safe, it carries a risk of esophageal perforation-a rare but potentially fatal complication. We report an 18-year-old male who developed delayed esophageal perforation 5 weeks after C4-C6 ACCF. Diagnosis was established by computed tomography showing retropharyngeal air and endoscopy confirming a full-thickness esophageal defect. Surgical removal of the hardware, primary repair with absorbable sutures, drainage, and feeding jejunostomy were performed. The patient achieved complete recovery with no leakage at six-month follow-up. This case underscores the importance of clinical vigilance and timely surgical management.