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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

Postoperative CT-scan of the thoracic spine showing the position of the rib graft within the vertebral body
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Fig7: Postoperative CT-scan of the thoracic spine showing the position of the rib graft within the vertebral body

Mentions: Postoperatively she went to the ICU, and was transferred to the orthopaedic ward the next day after a thoracic X-ray revealed absent residual pneumothorax. Within 2 days the excruciating pain subsided, although analgesics were required for thoracotomy wound pain. X-rays and a CT-scan showed proper positioning of the rib-graft in the vertebra (Fig. 7). Three days postoperation, atrial fibrillation developed and was successfully treated with digoxin. She was discharged in good health after 19 days with a 3-point extension spinal orthosis for 6 weeks.Fig. 7


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)

Postoperative CT-scan of the thoracic spine showing the position of the rib graft within the vertebral body
© Copyright Policy
Related In: Results  -  Collection

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

Fig7: Postoperative CT-scan of the thoracic spine showing the position of the rib graft within the vertebral body
Mentions: Postoperatively she went to the ICU, and was transferred to the orthopaedic ward the next day after a thoracic X-ray revealed absent residual pneumothorax. Within 2 days the excruciating pain subsided, although analgesics were required for thoracotomy wound pain. X-rays and a CT-scan showed proper positioning of the rib-graft in the vertebra (Fig. 7). Three days postoperation, atrial fibrillation developed and was successfully treated with digoxin. She was discharged in good health after 19 days with a 3-point extension spinal orthosis for 6 weeks.Fig. 7

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