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Complication with Removal of a Lumbar Spinal Locking Plate
Joint Authors
Crawford, Brooke
Lenarz, Christopher
Watson, J. Tracy
Alander, Dirk
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-09
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
The use of locking plate technology for anterior lumbar spinal fusion has increased stability of the vertebral fusion mass over traditional nonconstrained screw and plate systems.
This case report outlines a complication due to the use of this construct.
Case.
A patient with a history of L2 corpectomy and anterior spinal fusion presented with discitis at the L4/5 level and underwent an anterior lumbar interbody fusion (ALIF) supplemented with a locking plate placed anterolaterally for stability.
Fifteen months after the ALIF procedure, he returned with a hardware infection.
He underwent debridement of the infection site and removal of hardware.
Results.
Once hardware was exposed, removal of the locking plate screws was only successful in one out of four screws using a reverse thread screw removal device.
Three of the reverse thread screw removal devices broke in attempt to remove the subsequent screws.
A metal cutting drill was then used to break hoop stresses associated with the locking device and the plate was removed.
Conclusion.
Anterior locking plates add significant stability to an anterior spinal fusion mass.
However, removal of this hardware can be complicated by the inherent properties of the design with significant risk of major vascular injury.
American Psychological Association (APA)
Crawford, Brooke& Lenarz, Christopher& Watson, J. Tracy& Alander, Dirk. 2015. Complication with Removal of a Lumbar Spinal Locking Plate. Case Reports in Orthopedics،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059543
Modern Language Association (MLA)
Crawford, Brooke…[et al.]. Complication with Removal of a Lumbar Spinal Locking Plate. Case Reports in Orthopedics No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059543
American Medical Association (AMA)
Crawford, Brooke& Lenarz, Christopher& Watson, J. Tracy& Alander, Dirk. Complication with Removal of a Lumbar Spinal Locking Plate. Case Reports in Orthopedics. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059543
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059543