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 After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle.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)
Pages (from-to)e51
JournalJournal of NeuroInterventional Surgery
Volume8
Issue number12
DOIs
StatePublished - Dec 1 2016

Fingerprint

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

Keywords

  • Complication
  • Degenerative
  • Intervention
  • Lumbosacral
  • Technique

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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: Journal of NeuroInterventional Surgery, Vol. 8, No. 12, 01.12.2016, p. e51.

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: Journal of NeuroInterventional Surgery. 2016 ; Vol. 8, No. 12. pp. e51.
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