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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

Intra-operative photo showing the protruding wafers
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Fig5: Intra-operative photo showing the protruding wafers

Mentions: Following general anaesthesia and antibiotic prophylaxis (1,000 mg cefamandole) and left-sided positioning a right posterolateral thoracotomy was performed. By blocking ventilation the right lung collapsed. The wafers penetrated the parietal and visceral pleura (Fig. 5). The vagal nerve was stretched around the wafers, but intact. After removal of the wafers, the residual cavity in the vertebral body was probed and deemed circumferentially intact. It was filled with a resected piece of the sixth rib (Fig. 6). An intrathoracic suction drain and a subpleural analgesic catheter were inserted. The right lung was inflated and the thoracotomy closed with thick double stranded sutures followed by routine wound closure.Fig. 5


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)

Intra-operative photo showing the protruding wafers
© Copyright Policy
Related In: Results  -  Collection

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

Fig5: Intra-operative photo showing the protruding wafers
Mentions: Following general anaesthesia and antibiotic prophylaxis (1,000 mg cefamandole) and left-sided positioning a right posterolateral thoracotomy was performed. By blocking ventilation the right lung collapsed. The wafers penetrated the parietal and visceral pleura (Fig. 5). The vagal nerve was stretched around the wafers, but intact. After removal of the wafers, the residual cavity in the vertebral body was probed and deemed circumferentially intact. It was filled with a resected piece of the sixth rib (Fig. 6). An intrathoracic suction drain and a subpleural analgesic catheter were inserted. The right lung was inflated and the thoracotomy closed with thick double stranded sutures followed by routine wound closure.Fig. 5

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