title: Percutaneous vertebroplasty in a broken vertebral titanium implant (titanium mesh cage).
abstract: We report the case of a percutaneous consolidation of a broken vertebral implant (Surgical Titanium Mesh Implants; DePuy Spine, Raynham, MA, USA) by vertebroplasty. Four years after anterior spondylectomy with cage implantation and stabilization with posterior instrumentation, the patient was admitted for excruciating back pain. Radiographs showed fracture of the cage, screw, and rod. An anterior surgical approach was deemed difficult and a percutaneous injection of polymethyl methacrylate into the cage was performed following posterior instrumentation replacement. This seems to be an interesting alternative to the classical anterior surgical approach, which is often difficult in postoperative conditions.
authors.affiliation: Department of Radiology B, University Hospital of Strasbourg, Cedex 426, Strasbourg, 67091 France.
authors.forename: G
authors.initials: G
authors.lastname: Bierry
authors.forename: X
authors.initials: X
authors.lastname: Buy
authors.forename: P Chandra
authors.initials: PC
authors.lastname: Mohan
authors.forename: J
authors.initials: J
authors.lastname: Cupelli
authors.forename: J P
authors.initials: JP
authors.lastname: Steib
authors.forename: A
authors.initials: A
authors.lastname: Gangi
mesh_terms: D001943:Breast Neoplasms / Q000628:therapy; D003131:Combined Modality Therapy; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D019736:Prostheses and Implants; D013131:Spine / Q000601:surgery*; D014025:Titanium
chemical_list: D014025:Titanium