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Treatment of an osteoporotic vertebral compression fracture with the StaXx FX system resulting in intrathoracic wafers: a serious complication.

van der Plaat LW, Bulstra GH, Albers GH, Eerenberg JP, van der Vis HM - Eur Spine J (2011)

Bottom Line: To report a serious complication of the StaXx FX system used to stabilize an osteoporotic vertebral fracture.A 76-year-old woman presented with a painful vertebral fracture.Treatment by means of a PEEK wafer kyphoplasty was complicated by malposition of the wafers.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Academic Medical Center, Postbus 22660, 1100 DD, Amsterdam, The Netherlands. Lplaat@hotmail.com

ABSTRACT

Purpose: To report a serious complication of the StaXx FX system used to stabilize an osteoporotic vertebral fracture.

Case report: A 76-year-old woman presented with a painful vertebral fracture. Treatment by means of a PEEK wafer kyphoplasty was complicated by malposition of the wafers. The patient recovered fully after removal of the wafers by means of a thoracotomy.

Conclusions: New treatment modalities have their own pitfalls and possible complications, as demonstrated in this case report. Caution regarding implementation of new treatment modalities should be practiced.

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Related in: MedlinePlus

Thoracic spine X-rays showing the T7 fracture
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Fig1: Thoracic spine X-rays showing the T7 fracture

Mentions: A 76-year-old, vital woman with a history of osteoporosis and a transient ischemic attack visited our outpatient clinic, with high back pain, interfering with daily activities. The pain occurred spontaneously 2 months earlier, and did not improve with acetaminophen and activity modification. On physical examination (59 kg, 1.58 m), compression pain over the spinal column and painful palpation of the spinous processes T6 and T7 was noted. Thoracic spine X-rays revealed an impression deformity of T7, with 15% anterior height loss (Fig. 1), AO type A1.2. MRI showed oedema, sign of a recent/active fracture. Due to failure of conservative therapy, the fracture was stabilized using a PEEK wafer KP.Fig. 1


Treatment of an osteoporotic vertebral compression fracture with the StaXx FX system resulting in intrathoracic wafers: a serious complication.

van der Plaat LW, Bulstra GH, Albers GH, Eerenberg JP, van der Vis HM - Eur Spine J (2011)

Thoracic spine X-rays showing the T7 fracture
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3369049&req=5

Fig1: Thoracic spine X-rays showing the T7 fracture
Mentions: A 76-year-old, vital woman with a history of osteoporosis and a transient ischemic attack visited our outpatient clinic, with high back pain, interfering with daily activities. The pain occurred spontaneously 2 months earlier, and did not improve with acetaminophen and activity modification. On physical examination (59 kg, 1.58 m), compression pain over the spinal column and painful palpation of the spinous processes T6 and T7 was noted. Thoracic spine X-rays revealed an impression deformity of T7, with 15% anterior height loss (Fig. 1), AO type A1.2. MRI showed oedema, sign of a recent/active fracture. Due to failure of conservative therapy, the fracture was stabilized using a PEEK wafer KP.Fig. 1

Bottom Line: To report a serious complication of the StaXx FX system used to stabilize an osteoporotic vertebral fracture.A 76-year-old woman presented with a painful vertebral fracture.Treatment by means of a PEEK wafer kyphoplasty was complicated by malposition of the wafers.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Academic Medical Center, Postbus 22660, 1100 DD, Amsterdam, The Netherlands. Lplaat@hotmail.com

ABSTRACT

Purpose: To report a serious complication of the StaXx FX system used to stabilize an osteoporotic vertebral fracture.

Case report: A 76-year-old woman presented with a painful vertebral fracture. Treatment by means of a PEEK wafer kyphoplasty was complicated by malposition of the wafers. The patient recovered fully after removal of the wafers by means of a thoracotomy.

Conclusions: New treatment modalities have their own pitfalls and possible complications, as demonstrated in this case report. Caution regarding implementation of new treatment modalities should be practiced.

Show MeSH
Related in: MedlinePlus