Anterior migration of prosthesis following cervical arthroplasty

Tsermoulas, Georgios; Bhattathiri, P. S.

doi:10.3109/02688697.2012.703354

Cited by 14 publications

(11 citation statements)

References 2 publications

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“…Inadequate fixation or pseudoarthrosis can result in eventual migration of the hardware and potentially erosion and perforation of the esophagus in extreme cases. 28 -31 Screw migration and esophageal perforation has even been reported to result in a delayed fusion. 31 Arguably, the number one cause of esophageal perforation is technical error.…”

Section: Discussionmentioning

confidence: 99%

Anterior Cervical Infection: Presentation and Incidence of an Uncommon Postoperative Complication

Ghobrial

Sasso

Tannoury

et al. 2017

Global Spine Journal

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Study Design:Retrospective multi-institutional case series.Objective:The anterior cervical discectomy and fusion (ACDF) affords the surgeon the flexibility to treat a variety of cervical pathologies, with the majority being for degenerative and traumatic indications. Limited data in the literature describe the presentation and true incidence of postoperative surgical site infections.Methods:A retrospective multicenter case series study was conducted involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network, selected for their excellence in spine care and clinical research infrastructure and experience. Medical records for 17 625 patients who received cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, inclusive, were reviewed to identify the occurrence of 21 predefined treatment complications. Patients who underwent an ACDF were identified in the database and reviewed for the occurrence of postoperative anterior cervical infections.Results:A total of 8887 patients were identified from a retrospective database analysis of 21 centers providing data for postoperative anterior cervical infections (17/21, 81% response rate). A total of 6 postoperative infections after ACDF were identified for a mean rate of 0.07% (range 0% to 0.39%). The mean age of patients identified was 57.5 (SD = 11.6, 66.7% female). The mean body mass index was 22.02. Of the total infections, half were smokers (n = 3). Two patients presented with myelopathy, and 3 patients presented with radiculopathic-type complaints. The mean length of stay was 4.7 days. All patients were treated aggressively with surgery for management of this complication, with improvement in all patients. There were no mortalities.Conclusion:The incidence of postoperative infection in ACDF is exceedingly low. The management has historically been urgent irrigation and debridement of the surgical site. However, due to the rarity of this occurrence, guidance for management is limited to retrospective series.

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Section: Discussionmentioning

confidence: 99%

Anterior Cervical Infection: Presentation and Incidence of an Uncommon Postoperative Complication

Ghobrial

Sasso

Tannoury

et al. 2017

Global Spine Journal

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“…Published studies of implant migration after cervical arthroplasty are rare. [ 1 2 3 ] This is the first report of bi-level Bryan implant migration after cervical disc arthroplasty. The ROM of the C4/5 and C5/6 implants was minimal (1° and 4°) 6 weeks after the surgery and the implants were deformed, suggesting that the implants were oversized and overloaded.…”

mentioning

confidence: 96%

A Case of Implant Migration Following Bi-level Cervical Disc Arthroplasty

Zhai

Chang

et al. 2017

Chinese Medical Journal

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“…It should be noted that in our case, the symptoms not being as aggressive as those presented by the patient described by Tsermoulas and Bhattathiri,[ 6 ] revision surgery could be postponed and not performed in the context of the emergency.…”

Section: Discussionmentioning

confidence: 52%

An anterior dislocation after Mobi-C cervical disc arthroplasty

2020

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The objective is to report a case of an early dislocation of Mobi-C prosthesis used for the replacement of C4–C5 disc. A 57-year-old man who was operated 17 years before for C6–C7 fusion complained of cervicalgia associated with bilateral but predominantly right-sided brachialgia. Magnetic resonance imaging demonstrated central and foraminal stenosis in the C5–C6 segment and soft medial disc herniation in the C4–C5 segment. The patient was indicated for the placement of a cervical disc prosthesis C4–C5 and a C5–C6 arthrodesis. After 1 month of clinical improvement, the patient saw his pain reappearing as well as the presence of dysphagia not objectified before. The patient did not describe a traumatic context. The radiographic assessment showed an anterior dislocation of the prosthesis. The patient was reoperated, the prosthesis was removed, and cervical arthrodesis with iliac graft was performed. Although rare, this complication must be well known by surgeons performing cervical arthroplasty.

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Anterior migration of prosthesis following cervical arthroplasty

Abstract: We present a case of anterior migration of prosthesis that presented acutely several weeks following cervical arthroplasty. The implant was subsequently removed and the level fused. The cause of this unusual complication is speculated.

Cited by 14 publications

References 2 publications

Anterior Cervical Infection: Presentation and Incidence of an Uncommon Postoperative Complication

Anterior Cervical Infection: Presentation and Incidence of an Uncommon Postoperative Complication

A Case of Implant Migration Following Bi-level Cervical Disc Arthroplasty

An anterior dislocation after Mobi-C cervical disc arthroplasty

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