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Vertebral Body Erosion and Subsequent Back Pain Secondary to a Vena Cava Filter.

Newman W, Zwagerman NT, Gerszten PC - Cureus (2015)

Bottom Line: Two years after placement, she developed low back pain with radicular symptoms.The patient's IVCF was successfully removed without complication.The pain and radicular symptoms resolved by one month follow-up.

View Article: PubMed Central - HTML - PubMed

Affiliation: Neurological Surgery, Department of Neurological Surgery, University of Pittsburgh Medical Center.

ABSTRACT

Background: A patient with multiple open lumbar procedures, the most recent of which was complicated by symptomatic pulmonary embolus, underwent placement of an inferior vena cava filter (IVCF). Two years after placement, she developed low back pain with radicular symptoms. CT of the lumbar spine demonstrated vertebral body erosion from the IVCF strut. In this brief report, we describe L2 vertebral body erosion, radiographic findings, and a brief review of the literature.

Objective: To describe radiographic findings of vertebral body erosion from IVCF as well as review the literature regarding this and other complications of IVCF placement.

Methods: Retrospective, single patient chart review.

Results: The patient's IVCF was successfully removed without complication. The pain and radicular symptoms resolved by one month follow-up.

Conclusions: Based on the literature, most IVCFs with evidence of bony erosion are removed except when patient comorbidities, goals of care, or a complete absence of symptoms make removal inadvisable.

No MeSH data available.


Related in: MedlinePlus

Erosive changes of the L2 vertebral bodyCT imaging demonstrates erosive changes of the L2 vertebral body with a prong of the IVCF violating the outer cortex (Figure 1A).
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FIG1: Erosive changes of the L2 vertebral bodyCT imaging demonstrates erosive changes of the L2 vertebral body with a prong of the IVCF violating the outer cortex (Figure 1A).

Mentions: A patient had undergone several open lumbar procedures, including pedicle screw fixation. The last surgery was complicated by a symptomatic pulmonary embolus. At that time, the patient underwent the uneventful placement of an inferior vena cava filter (IVCF). Two years after placement of the IVCF, the patient began having lower back pain with intermittent right flank pain. Four months later, the patient developed symptoms of urinary retention. The work-up for these symptoms included a CT of the lumbar spine. CT imaging demonstrated erosive changes of the L2 vertebral body with a prong of the IVCF violating the outer cortex (Figure 1A).  


Vertebral Body Erosion and Subsequent Back Pain Secondary to a Vena Cava Filter.

Newman W, Zwagerman NT, Gerszten PC - Cureus (2015)

Erosive changes of the L2 vertebral bodyCT imaging demonstrates erosive changes of the L2 vertebral body with a prong of the IVCF violating the outer cortex (Figure 1A).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4494535&req=5

FIG1: Erosive changes of the L2 vertebral bodyCT imaging demonstrates erosive changes of the L2 vertebral body with a prong of the IVCF violating the outer cortex (Figure 1A).
Mentions: A patient had undergone several open lumbar procedures, including pedicle screw fixation. The last surgery was complicated by a symptomatic pulmonary embolus. At that time, the patient underwent the uneventful placement of an inferior vena cava filter (IVCF). Two years after placement of the IVCF, the patient began having lower back pain with intermittent right flank pain. Four months later, the patient developed symptoms of urinary retention. The work-up for these symptoms included a CT of the lumbar spine. CT imaging demonstrated erosive changes of the L2 vertebral body with a prong of the IVCF violating the outer cortex (Figure 1A).  

Bottom Line: Two years after placement, she developed low back pain with radicular symptoms.The patient's IVCF was successfully removed without complication.The pain and radicular symptoms resolved by one month follow-up.

View Article: PubMed Central - HTML - PubMed

Affiliation: Neurological Surgery, Department of Neurological Surgery, University of Pittsburgh Medical Center.

ABSTRACT

Background: A patient with multiple open lumbar procedures, the most recent of which was complicated by symptomatic pulmonary embolus, underwent placement of an inferior vena cava filter (IVCF). Two years after placement, she developed low back pain with radicular symptoms. CT of the lumbar spine demonstrated vertebral body erosion from the IVCF strut. In this brief report, we describe L2 vertebral body erosion, radiographic findings, and a brief review of the literature.

Objective: To describe radiographic findings of vertebral body erosion from IVCF as well as review the literature regarding this and other complications of IVCF placement.

Methods: Retrospective, single patient chart review.

Results: The patient's IVCF was successfully removed without complication. The pain and radicular symptoms resolved by one month follow-up.

Conclusions: Based on the literature, most IVCFs with evidence of bony erosion are removed except when patient comorbidities, goals of care, or a complete absence of symptoms make removal inadvisable.

No MeSH data available.


Related in: MedlinePlus