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Patients were eligible for inclusion in the cohort if they had a history of SCC of the larynx or hypopharynx treated with curative radiation with or without chemotherapy and subsequently developed a syndrome of subtle pain in the posterior neck and upper back 2–8 weeks after instrumentation of the pharynx associated with symptoms of myelopathy and radiologic evidence of spinal epidural thickening and loss of fat in the marrow space of the cervical vertebrae compatible with cervical vertebral ORN.
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