Document Detail

Short-term and long-term failures of anterior polymethylmethacrylate construct with esophageal perforation.
MedLine Citation:
PMID:  8516707     Owner:  NLM     Status:  MEDLINE    
Three patients with a history of anterior spinal surgery treated with a polymethylmethacrylate construct had extrusion of their constructs. In two instances, there were life-threatening esophageal fistulas, mediastinitis, and sepsis 3 months to 10 years after the original surgery. Surgical treatment required removal of the construct, treatment of the esophageal injury, and use of new spinal stabilization. Based on their experience and a review of the literature, the authors strongly recommend against the use of polymethylmethacrylate alone in anterior procedures involving the cervical spine except to treat malignancies in patients with a short life expectancy.
M Halligan; O R Hubschmann
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  18     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-07-19     Completed Date:  1993-07-19     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:  759-61     Citation Subset:  IM    
Department of Surgery, University of Medicine and Dentistry of New Jersey.
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MeSH Terms
Cervical Vertebrae / surgery*
Equipment Failure
Esophageal Fistula / etiology
Esophageal Perforation / etiology*
Mediastinitis / etiology
Prostheses and Implants / adverse effects*
Time Factors
Reg. No./Substance:

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

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