Ng Bing Wui, Baharuddin Azmi, Tan Jin Aun, Muhamad Ariffin Mohd Hisam
Department of Orthopaedics and Traumatology, Hospital Canselor Tuanku Muhriz (formerly Universiti Kebangsaan Malaysia), Kuala Lumpur, MYS.
Department of Orthopaedics, Hospital Pakar Kanak-Kanak, Universiti Kebangsaan Malaysia, Kuala Lumpur, MYS.
Cureus. 2022 Apr 3;14(4):e23794. doi: 10.7759/cureus.23794. eCollection 2022 Apr.
The porous property of tantalum metal coupled with its high frictional surface and biocompatibility has made it an ideal biomaterial to facilitate bony fusion. This biomaterial is not unfamiliar to surgeons as it has been utilized with good clinical outcomes in arthroplasty. The usage of tantalum cages in spine surgery has gained traction. Complications resulting from the use of tantalum cage in lumbar fusion surgery were rarely reported. Here the authors would present a case of revision spinal surgery where the tantalum cage underwent migration from the previous posterior lumbar interbody fusion surgery. We further discuss ways to prevent such complications, precautions, tips, and tricks that could help other surgeons while dealing with this complication.
钽金属的多孔特性及其高摩擦表面和生物相容性使其成为促进骨融合的理想生物材料。这种生物材料对外科医生来说并不陌生,因为它已在关节置换术中得到应用并取得了良好的临床效果。钽笼在脊柱手术中的应用越来越受到关注。关于在腰椎融合手术中使用钽笼导致的并发症鲜有报道。在此,作者将介绍一例翻修脊柱手术病例,其中钽笼从先前的后路腰椎椎间融合手术中发生了移位。我们进一步讨论预防此类并发症的方法、注意事项、技巧和窍门,这些可能会对其他处理该并发症的外科医生有所帮助。