Abstract:
STUDY DESIGN:Case report. OBJECTIVE:We report the unusual case of a patient who was referred to our institution after she sustained an intraoperative injury to the common iliac vein during posterior lumbar discectomy at L5-S1 with a pituitary rongeur. There was only minimal bleeding with spontaneous hemostasis and no hemodynamic instability. Subsequently, the referring surgeon noted that the pituitary rongeur tip was missing. SUMMARY OF BACKGROUND DATA:Vascular injury during lumbar discectomy is a rare, but potentially devastating complication. Rapid diagnosis and treatment is traditionally targeted toward hemodynamic stabilization and repair of compromised structures. METHODS:Intraoperative fluoroscopy confirmed the presence of the tip anterior to the L3 vertebral body, indicating a possible intravascular migration of the foreign body. After completion of the surgical procedure, an abdominal computed tomography scan failed to confirm the metallic object within the abdominal cavity. Subsequent imaging studies demonstrated the presence of the rongeur tip in the left ventricle. Transthoracic echocardiogram and cardiac catheterization confirmed the presence of a patent foramen ovale and localized the rongeur tip within the papillary cords of the left ventricle, in close proximity of the mitral valve leaflets. RESULTS:After failure to retrieve the foreign object during cardiac catheterization, the patient underwent sternotomy, removal of foreign metallic object, and closure of patent foramen ovale. CONCLUSION:Close multidisciplinary collaboration allowed for proper diagnosis and the safe retrieval of the missing rongeur tip from the left ventricle.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Bydon A,Xu R,Conte JV,Gokaslan ZL,Brinker JA,Witham TF,Yassari Rdoi
10.1097/BRS.0b013e3181d85becsubject
Has Abstractpub_date
2010-08-01 00:00:00pages
E867-72issue
17eissn
0362-2436issn
1528-1159journal_volume
35pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:A 7-year-old ambulatory girl with complete bilateral agenesis of the ilium is reported. OBJECTIVE:To document the clinical evolution and the spino-pelvic balance of a girl with bilateral agenesis of the ilium. SUMMARY OF BACKGROUND DATA:Scapuloiliac dysostosis is a rare focal skeletal dysplasia consistin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000169448.58989.a1
更新日期:2005-07-15 00:00:00
abstract:STUDY DESIGN:Bibliometric analysis. OBJECTIVE:To identify, and summarize the key findings of, the top 100 most highly cited works published in spinal disorder topic-specific journals. SUMMARY OF BACKGROUND DATA:There is an abundance of published articles pertaining to spine surgery and spinal disorders. The number of...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000002735
更新日期:2018-12-15 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the effectiveness and safety of cervical laminoplasty versus laminectomy and fusion for the treatment of cervical myelopathy, and to identify any patient subgroups for whom one treatment may result in better outcomes than the other. SUMMARY OF BACKGROUND DATA:Cer...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3182a7eb7c
更新日期:2013-10-15 00:00:00
abstract:STUDY DESIGN:Retrospective clinical study with radiographic and medical chart review. OBJECTIVE:To study the clinical characteristics and outcome of pediatric athletes with low back pain and unilateral tracer uptake on single photon emission computed tomography (SPECT) at the pars interarticularis but no defect on rad...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000209308.19642.96
更新日期:2006-04-15 00:00:00
abstract:STUDY DESIGN:A case report of traumatic atlanto-occipital dislocation managed by transarticular screw fixation. OBJECTIVES:To present a case with initial failed wire fixation but successful reduction and fixation with transarticular screw fixation and occipitocervical plate stabilization. SUMMARY OF BACKGROUND DATA:A...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200103150-00030
更新日期:2001-03-15 00:00:00
abstract::A technique is described for intraoperative, multimodality electrophysiologic monitoring of the spinal cord and lumbosacral nerve roots (cauda equina). Simultaneous monitoring with the techniques of electromyography, compound muscle action potentials, and somatosensory evoked potentials is found to provide highly usef...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199310001-00023
更新日期:1993-10-15 00:00:00
abstract:STUDY DESIGN:An in vivo model of scoliosis was established in immature goats. OBJECTIVE:To assess the feasibility, reliability, and complications of the innovative animal model. SUMMARY OF BACKGROUND DATA:Among the methods of creating a scoliotic model, posterior asymmetric tethering of spine yielded encouraging resu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b1fdd0
更新日期:2009-10-01 00:00:00
abstract:STUDY DESIGN:Cadaveric laboratory study. OBJECTIVE:To compare the accuracy, efficiency, and safety of intraoperative cone beam-computed tomography with navigation (O-ARM) with traditional intraoperative fluoroscopy (C-ARM) for the placement of pedicle screws. SUMMARY OF BACKGROUND DATA:Radiation exposure remains a co...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182a51d1e
更新日期:2013-10-15 00:00:00
abstract:STUDY DESIGN:An experimental study of cardiovascular complications that arise during vertebroplasty was conducted. OBJECTIVE:To investigate the sequential occurrence of fat embolism and hypotension during vertebroplasty. SUMMARY OF BACKGROUND DATA:Vertebroplasty, the augmentation of vertebrae with polymethylmethacryl...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200203010-00005
更新日期:2002-03-01 00:00:00
abstract::Emerging techniques for management of degenerative disc disease include modern fusion interbody cage devices, intradiscal electrothermal therapy, and disc prostheses among others. The management of discogenic low back pain is controversial: its accurate diagnosis is difficult, and treatment is inconsistent. Before wid...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000076894.33269.19
更新日期:2003-08-01 00:00:00
abstract::Because there is increasing concern about low-back disability and its current medical management, this analysis attempts to construct a new theoretic framework for treatment. Observations of natural history and epidemiology suggest that low-back pain should be a benign, self-limiting condition, that low back-disabilit...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-198709000-00002
更新日期:1987-09-01 00:00:00
abstract::This prospective study of 185 patients undergoing first-time lumbar surgery compared how accurately clinical criteria and water-soluble myelography predicted the operative findings. Clinical diagnostic criteria of nerve root pain, root irritation signs, and neurologic signs of root compression supplemented by myelogra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198606000-00007
更新日期:1986-06-01 00:00:00
abstract:STUDY DESIGN:A biomechanical study comparing two materials for augmentation of osteoporotic vertebral bodies and vertebral bodies after compression fracture. OBJECTIVES:To compare an injected, biodegradable calcium phosphate bone substitute with injected polymethylmethacrylate bone cement for strengthening osteoporoti...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199908010-00004
更新日期:1999-08-01 00:00:00
abstract:STUDY DESIGN:In vitro biotribological investigation. OBJECTIVE:To evaluate the wear resistance and long-term biodurability of NUBAC, a PEEK-on-PEEK articulating nucleus replacement device, using a series of wear tests with different motion profiles, test frequencies, and environmental conditions. SUMMARY OF BACKGROUN...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181d59e45
更新日期:2010-07-15 00:00:00
abstract:STUDY DESIGN:Retrospective clinical and radiologic evaluation. OBJECTIVE:To investigate the feasibility of a 1-stage combined posterior and anterior approaches for excising thoracolumbar and lumbar tumors with the patient lying in the lateral position. SUMMARY OF BACKGROUND DATA:Traditional anteroposterior approaches...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b967ca
更新日期:2010-03-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:To identify facet tropism as one of the possible risk factors leading to vertebral rotatory subluxation (VRS). SUMMARY OF BACKGROUND DATA:VRS has been considered as one of the prognostic factors for degenerative scoliosis. Although several risk factors of VRS, including...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000494
更新日期:2014-12-15 00:00:00
abstract:STUDY DESIGN:Experimental study using an in vitro model of compressive injury to isolated adult rat dorsal column axons. OBJECTIVES:To examine the role of extracellular Na+ (Na+e) in mediating secondary injury to spinal cord axons after compressive trauma. The mechanisms of intracellular sodium entry were examined usi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199510001-00002
更新日期:1995-10-15 00:00:00
abstract:STUDY DESIGN:The mRNA expressions of cytokines and chemokines were assessed in herniated lumbar disc specimens. OBJECTIVES:To investigate whether the mRNAs of interleukin (IL)-1alpha, tumor necrosis factor (TNF)-alpha, RANTES, IL-8, IL-10, and transforming growth factor (TGF)-beta are expressed in surgically obtained ...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200205010-00005
更新日期:2002-05-01 00:00:00
abstract:STUDY DESIGN:A retrospective analysis of graft and plate complications after multilevel anterior cervical corpectomy and fusion (ACF) attributed to spondylosis, stenosis, and ossification of posterior longitudinal ligament was conducted. OBJECTIVE:To identify factors contributing to graft and plate complications in th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200301150-00009
更新日期:2003-01-15 00:00:00
abstract:STUDY DESIGN:Basic animal research. OBJECTIVE:The effects of granulocyte colony-stimulating factor (G-CSF) were assessed in a rat chronic spinal cord compression model to explore the potential of G-CSF as a pharmacological treatment for cervical spondylotic myelopathy. SUMMARY OF BACKGROUND DATA:G-CSF is a hematopoie...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001659
更新日期:2016-12-01 00:00:00
abstract:STUDY DESIGN:A descriptive epidemiology study. OBJECTIVE:The aim of this study is to investigate changes in the utilization of ambulatory surgical procedures performed for intervertebral disc disorders and spinal stenosis between 1994 and 2006 in the United States. SUMMARY OF BACKGROUND DATA:Understanding trends in t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001109
更新日期:2015-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The goals of this study were to (A) evaluate preoperative bone quality assessment and intervention practice over time and (B) review the current evidence for bone evaluation in spine fusion surgery. SUMMARY OF BACKGROUND DATA:Deformity spine surgery has demonstrated ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002956
更新日期:2019-06-15 00:00:00
abstract:STUDY DESIGN:Single institution, single surgeon retrospective review. OBJECTIVE:To investigate if the use of titanium mesh cage on the site of infection could be beneficial for successful outcome of the operative treatment for pyogenic spondylitis. SUMMARY OF BACKGROUND DATA:There is a controversy concerning the opti...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318187875e
更新日期:2008-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of this study was to analyze the relationship of the parameters of cervical sagittal alignment between those obtained from cervical CT and those obtained from radiography, as well as to determine which parameter would help predict physiological lordosis of the ce...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000281
更新日期:2014-05-01 00:00:00
abstract::Curve patterns and surgical treatment in 118 consecutive patients with post-poliomyelitic paralytic scoliosis are reviewed. The typical curve pattern was double structural curves, usually including the lumbar spine. Modifying the incision and altering the sequence of instrumentation facilitated both the exposure and i...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198111000-00008
更新日期:1981-11-01 00:00:00
abstract:STUDY DESIGN:Retrospective database analysis. OBJECTIVE:A population-based database was analyzed to identify the incidence, risk factors, and mortality associated with thromboembolic events after lumbar spine surgery. SUMMARY OF BACKGROUND DATA:Pulmonary embolism (PE) and deep vein thrombosis (DVT) are potential comp...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318286b7c0
更新日期:2013-06-01 00:00:00
abstract:STUDY DESIGN:Longitudinal study of intraoperative pulmonary function in young children with thoracic hypoplasia and scoliosis undergoing multiple expansion thoracoplasty using the vertical expandable prosthetic titanium ribs (VEPTRs). OBJECTIVE:To test the long-term efficacy of VEPTR multiple expansion thoracoplasty. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000197203.76653.d0
更新日期:2006-02-01 00:00:00
abstract:STUDY DESIGN:A retrospective study on the correlation between preoperative pulmonary function tests, preoperative pulmonary symptoms, and postoperative pulmonary complications. OBJECTIVE:To evaluate the incidence of immediate postoperative pulmonary complications and their correlation to pulmonary function tests, preo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000150486.60895.a1
更新日期:2005-01-15 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To report a case of false-negative intraoperative motor-evoked potentials (MEP) that developed paraplegia after surgery. SUMMARY OF BACKGROUND DATA:Although several false-negative results have been reported with somatosensory-evoked potentials, there is no report noted with MEP. Th...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181b40d4f
更新日期:2009-11-15 00:00:00
abstract:STUDY DESIGN:Using a rat spondylosis model, the distributions of cells expressing the basic fibroblast growth factor and its receptor were investigated in normal and degenerated intervertebral discs. Cell-proliferating activity in degenerated discs was also assessed. OBJECTIVES:This study was conducted to determine wh...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199509150-00002
更新日期:1995-09-15 00:00:00