Document Detail


Dislodged upper thoracic cage in the gastrointestinal tract: a case report and literature reviews.
MedLine Citation:
PMID:  18827687     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A rare case of esophageal perforation secondary to a dislodged upper thoracic cage found by the gastrointestinal endoscope is presented. OBJECTIVE: To report an extremely rare complication of upper thoracic vertebral tuberculosis treated with corpectomy and interbody cage surgery and suggest the cause, mechanism, and outcome of the complication of esophageal perforation. SUMMARY OF BACKGROUND DATA: Tuberculotic spondylitis often affects the anterior column of the spine and surgery is indicated in the presence of an epidural abscess, neurologic deficits secondary to compression of the spinal cord, bone destruction with instability, or failure of antituberculous therapy. Surgical treatment requires radical debridement followed by anterior stabilization. A controversy exists regarding the use of the instrumentation in the tuberculous spine. METHODS: Retrospective case study and literature review. RESULTS: Because of the concomitant medical problems and little deterioration of the neurologic function, our patient is managed uneventfully with conservative treatment. CONCLUSION: To the authors' knowledge, this is an extremely rare reported complication of upper thoracic cage surgery for vertebral tuberculosis. This case demonstrates that the cage migration in the tuberculous spondylitis might have a rather benign clinical course and structural bone grafting or interbody cage insertion without supplemental instrument fixation seems to be inadequate.
Authors:
Chiu-Liang Chen; Chii-Wen Chou; Wei-Wen Su; Ching-Yuan Cheng; Chen-Tung Yu
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Spine     Volume:  33     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-01     Completed Date:  2009-05-19     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E802-6     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Changhua Christian hospital, Changhua City, Taiwan. 111111@cch.org.tw
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MeSH Terms
Descriptor/Qualifier:
Aged
Decompression, Surgical / adverse effects,  instrumentation*
Gastrointestinal Tract / radiography*
Humans
Male
Postoperative Complications / radiography
Prostheses and Implants / adverse effects*
Prosthesis Failure*
Retrospective Studies
Thoracic Vertebrae / radiography*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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