Retained needle after cement injection during vertebral augmentation and its management strategy

Angelika Kosse, Jonathan Pishoi Nakhla, Reza Yassari, Apolonia Elisabeth Abramowicz, Allan L. Brook

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A middle aged patient with multiple myeloma resulting in numerous pathological fractures underwent an L2, L3, and L5 vertebral cement augmentation for pain relief. After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle. After a neurosurgical consultation, the patient was transferred to the operating room for open removal. As the needle protruded approximately 3 inches from the patient's back, the patient could not be positioned supine, and was anesthetized and intubated in the right semi-prone position prior to being placed prone on the operating room table. The needle was surgically exposed, cut off at the pedicular bone edge, and its free component was removed.

Original languageEnglish (US)
Article number012180
JournalBMJ Case Reports
Volume2016
DOIs
StatePublished - Feb 18 2016

Fingerprint

Needles
Injections
Operating Tables
Phthiraptera
Prone Position
Spontaneous Fractures
Operating Rooms
Multiple Myeloma
Surgical Instruments
Referral and Consultation
Bone and Bones
Pain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Retained needle after cement injection during vertebral augmentation and its management strategy. / Kosse, Angelika; Nakhla, Jonathan Pishoi; Yassari, Reza; Abramowicz, Apolonia Elisabeth; Brook, Allan L.

In: BMJ Case Reports, Vol. 2016, 012180, 18.02.2016.

Research output: Contribution to journalArticle

Kosse, Angelika ; Nakhla, Jonathan Pishoi ; Yassari, Reza ; Abramowicz, Apolonia Elisabeth ; Brook, Allan L. / Retained needle after cement injection during vertebral augmentation and its management strategy. In: BMJ Case Reports. 2016 ; Vol. 2016.
@article{76cd532fb42a4a679415f4bfd4e31fd5,
title = "Retained needle after cement injection during vertebral augmentation and its management strategy",
abstract = "A middle aged patient with multiple myeloma resulting in numerous pathological fractures underwent an L2, L3, and L5 vertebral cement augmentation for pain relief. After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle. After a neurosurgical consultation, the patient was transferred to the operating room for open removal. As the needle protruded approximately 3 inches from the patient's back, the patient could not be positioned supine, and was anesthetized and intubated in the right semi-prone position prior to being placed prone on the operating room table. The needle was surgically exposed, cut off at the pedicular bone edge, and its free component was removed.",
author = "Angelika Kosse and Nakhla, {Jonathan Pishoi} and Reza Yassari and Abramowicz, {Apolonia Elisabeth} and Brook, {Allan L.}",
year = "2016",
month = "2",
day = "18",
doi = "10.1136/bcr-2015-012180",
language = "English (US)",
volume = "2016",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Retained needle after cement injection during vertebral augmentation and its management strategy

AU - Kosse, Angelika

AU - Nakhla, Jonathan Pishoi

AU - Yassari, Reza

AU - Abramowicz, Apolonia Elisabeth

AU - Brook, Allan L.

PY - 2016/2/18

Y1 - 2016/2/18

N2 - A middle aged patient with multiple myeloma resulting in numerous pathological fractures underwent an L2, L3, and L5 vertebral cement augmentation for pain relief. After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle. After a neurosurgical consultation, the patient was transferred to the operating room for open removal. As the needle protruded approximately 3 inches from the patient's back, the patient could not be positioned supine, and was anesthetized and intubated in the right semi-prone position prior to being placed prone on the operating room table. The needle was surgically exposed, cut off at the pedicular bone edge, and its free component was removed.

AB - A middle aged patient with multiple myeloma resulting in numerous pathological fractures underwent an L2, L3, and L5 vertebral cement augmentation for pain relief. After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle. After a neurosurgical consultation, the patient was transferred to the operating room for open removal. As the needle protruded approximately 3 inches from the patient's back, the patient could not be positioned supine, and was anesthetized and intubated in the right semi-prone position prior to being placed prone on the operating room table. The needle was surgically exposed, cut off at the pedicular bone edge, and its free component was removed.

UR - http://www.scopus.com/inward/record.url?scp=84960156683&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84960156683&partnerID=8YFLogxK

U2 - 10.1136/bcr-2015-012180

DO - 10.1136/bcr-2015-012180

M3 - Article

C2 - 26891698

AN - SCOPUS:84960156683

VL - 2016

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

M1 - 012180

ER -