Short-term and long-term failures of anterior polymethylmethacrylate construct with esophageal perforation.
Three patients with a history of anterior spinal surgery treated with a polymethylmethacrylate construct had extrusion of their constructs. In two instances, there were life-threatening esophageal fistulas, mediastinitis, and sepsis 3 months to 10 years after the original surgery. Surgical treatment required removal of the construct, treatment of the esophageal injury, and use of new spinal stabilization. Based on their experience and a review of the literature, the authors strongly recommend against the use of polymethylmethacrylate alone in anterior procedures involving the cervical spine except to treat malignancies in patients with a short life expectancy.
Department of Surgery, University of Medicine and Dentistry of New Jersey.
M
M
Halligan
O R
OR
Hubschmann
D000328:Adult; D002574:Cervical Vertebrae / Q000601:surgery*; D004868:Equipment Failure; D004937:Esophageal Fistula / Q000209:etiology; D004939:Esophageal Perforation / Q000209:etiology*; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology; D008768:Methylmethacrylates; D019736:Prostheses and Implants / Q000009:adverse effects*; D013997:Time Factors
D008768:Methylmethacrylates