Limits...
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.

Show MeSH

Related in: MedlinePlus

CT-scan transversal view showing the malpositioned wafers with close relation to the right pulmonary artery and right stem bronchus
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3369049&req=5

Fig4: CT-scan transversal view showing the malpositioned wafers with close relation to the right pulmonary artery and right stem bronchus

Mentions: One week later she visited the emergency department with unbearable high back and right-sided thoracic pain (VAS 10), without dyspnoea. Tramadol had been replaced with Naproxen because of hallucinations. On physical examination, she was hemodynamically stable, without neurological deficit, but axial compression of the spinal column was painful. There were no signs of infection. Progressive displacement of one wafer was noted on the thoracic spine X-ray (Fig. 3). The anterior vertebral height loss had increased to 32%, probably due to the weakening of the vertebral body by the previous surgery. A CT-scan revealed protrusion of the wafers, in close proximity to the right pulmonary artery and stem bronchus, with fluid in the right pleural cavity (Fig. 4). After consultation with the thoracic surgeon, we decided to remove the wafers, and use an alternative method of stabilisation.Fig. 3


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)

CT-scan transversal view showing the malpositioned wafers with close relation to the right pulmonary artery and right stem bronchus
© Copyright Policy
Related In: Results  -  Collection

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

Fig4: CT-scan transversal view showing the malpositioned wafers with close relation to the right pulmonary artery and right stem bronchus
Mentions: One week later she visited the emergency department with unbearable high back and right-sided thoracic pain (VAS 10), without dyspnoea. Tramadol had been replaced with Naproxen because of hallucinations. On physical examination, she was hemodynamically stable, without neurological deficit, but axial compression of the spinal column was painful. There were no signs of infection. Progressive displacement of one wafer was noted on the thoracic spine X-ray (Fig. 3). The anterior vertebral height loss had increased to 32%, probably due to the weakening of the vertebral body by the previous surgery. A CT-scan revealed protrusion of the wafers, in close proximity to the right pulmonary artery and stem bronchus, with fluid in the right pleural cavity (Fig. 4). After consultation with the thoracic surgeon, we decided to remove the wafers, and use an alternative method of stabilisation.Fig. 3

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