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钽棒 Cage 后移的翻修脊柱手术:技巧与窍门

Revision Spinal Surgery for Posterior Migration of Tantalum Cage: Tips and Tricks.

作者信息

Ng Bing Wui, Baharuddin Azmi, Tan Jin Aun, Muhamad Ariffin Mohd Hisam

机构信息

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.

出版信息

Cureus. 2022 Apr 3;14(4):e23794. doi: 10.7759/cureus.23794. eCollection 2022 Apr.

DOI:10.7759/cureus.23794
PMID:35530865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9067354/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/cb425eb89543/cureus-0014-00000023794-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/3273d6d7c885/cureus-0014-00000023794-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/e08538716307/cureus-0014-00000023794-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/ae0e7abe9c8e/cureus-0014-00000023794-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/cb425eb89543/cureus-0014-00000023794-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/3273d6d7c885/cureus-0014-00000023794-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/e08538716307/cureus-0014-00000023794-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/ae0e7abe9c8e/cureus-0014-00000023794-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7984/9067354/cb425eb89543/cureus-0014-00000023794-i04.jpg

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本文引用的文献

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2
Early Experience, Setup, Learning Curve, Benefits, and Complications Associated with Exoscope and Three-Dimensional 4K Hybrid Digital Visualizations in Minimally Invasive Spine Surgery.微创脊柱手术中与外视镜及三维4K混合数字可视化相关的早期经验、设置、学习曲线、益处及并发症
Asian Spine J. 2020 Feb;14(1):59-65. doi: 10.31616/asj.2019.0075. Epub 2019 Oct 15.
3
Risk factors for cage retropulsion after lumbar interbody fusion surgery: Series of cases and literature review.
腰椎体间融合术后 cage 后移的危险因素:病例系列及文献复习。
Int J Surg. 2016 Jun;30:56-62. doi: 10.1016/j.ijsu.2016.04.025. Epub 2016 Apr 21.
4
Porous tantalum in spinal surgery: an overview.多孔钽在脊柱外科手术中的应用概述
Eur J Orthop Surg Traumatol. 2016 Jan;26(1):1-7. doi: 10.1007/s00590-015-1654-x. Epub 2015 Jun 7.
5
Risk factors for cage retropulsion after posterior lumbar interbody fusion: analysis of 1070 cases.后路腰椎间融合术后 cage 后移的危险因素:1070 例分析。
Spine (Phila Pa 1976). 2012 Jun 1;37(13):1164-9. doi: 10.1097/BRS.0b013e318257f12a.
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