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
N1 - Publisher Copyright:
© Published by the BMJ Publishing Group Limited.
PY - 2016/12
Y1 - 2016/12
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 After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle.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 After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle.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.
KW - Complication
KW - Degenerative
KW - Intervention
KW - Lumbosacral
KW - Technique
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U2 - 10.1136/neurintsurg-2015-012180.rep
DO - 10.1136/neurintsurg-2015-012180.rep
M3 - Article
AN - SCOPUS:85002263398
SN - 1759-8478
VL - 8
SP - e51
JO - Journal of neurointerventional surgery
JF - Journal of neurointerventional surgery
IS - 12
ER -