Corrosion of Harrington rod in idiopathic scoliosis: long-term effects.
Identifieur interne : 000139 ( PubMed/Curation ); précédent : 000138; suivant : 000140Corrosion of Harrington rod in idiopathic scoliosis: long-term effects.
Auteurs : Beth Sherman [Canada] ; Tanya Crowell [Canada]Source :
- European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society [ 1432-0932 ] ; 2017.
Abstract
Metal implants have been used to treat adolescent idiopathic scoliosis since the 1960s. Only recently, however, it has the issue of metal-bone breakdown secondary to metal corrosion in situ come to light, raising concerns of possible long-term complications from the resulting metallosis and inflammation of spinal tissues. We present a case of a patient with neurological deficit, pain, and disability with Harrington rod in place for over 30 years, to bring attention to the issue of bio-corrosion of metal implants and its effect on human tissue. We call attention to the need for protocols to better diagnose and treat these patients.
DOI: 10.1007/s00586-017-5183-7
PubMed: 28624897
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Only recently, however, it has the issue of metal-bone breakdown secondary to metal corrosion in situ come to light, raising concerns of possible long-term complications from the resulting metallosis and inflammation of spinal tissues. We present a case of a patient with neurological deficit, pain, and disability with Harrington rod in place for over 30 years, to bring attention to the issue of bio-corrosion of metal implants and its effect on human tissue. We call attention to the need for protocols to better diagnose and treat these patients.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28624897</PMID><DateCreated><Year>2017</Year><Month>06</Month><Day>18</Day></DateCreated><DateRevised><Year>2017</Year><Month>06</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-0932</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jun</Month><Day>17</Day></PubDate></JournalIssue><Title>European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society</Title><ISOAbbreviation>Eur Spine J</ISOAbbreviation></Journal><ArticleTitle>Corrosion of Harrington rod in idiopathic scoliosis: long-term effects.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00586-017-5183-7</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Metal implants have been used to treat adolescent idiopathic scoliosis since the 1960s. Only recently, however, it has the issue of metal-bone breakdown secondary to metal corrosion in situ come to light, raising concerns of possible long-term complications from the resulting metallosis and inflammation of spinal tissues. We present a case of a patient with neurological deficit, pain, and disability with Harrington rod in place for over 30 years, to bring attention to the issue of bio-corrosion of metal implants and its effect on human tissue. We call attention to the need for protocols to better diagnose and treat these patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We provide a complete review of the history and clinical manifestations as well as serum metal, X-ray, and CT/myelogram test results.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A 52-year-old female with spinal fusion and Harrington rod presents with pain, lymphedema, disability, and neurological deficits including thoracic outlet syndrome, hyperreflexia, peripheral muscle weakness and atrophy, hypertonicity, Raynaud's phenomenon, and balance and gait abnormalities. Serum chromium levels were elevated (26.73 nmol). X-rays showed no evidence of rod breakdown. Serial X-rays can demonstrate subtle corrosive changes but were not available. Adhesive arachnoiditis was diagnosed via CT/myelogram.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We hypothesize that bio-corrosion is present in this case and that it is associated with intraspinal metallosis. Trauma secondary to a motor vehicle accident, as well as arachnoiditis, and their possible effects on this case are outlined. Challenges in proper diagnosis and management are discussed.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sherman</LastName><ForeName>Beth</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>, Suite 709, 5 Northtown Way, Toronto, ON, M2N 7A1, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Crowell</LastName><ForeName>Tanya</ForeName><Initials>T</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-6871-9682</Identifier><AffiliationInfo><Affiliation>, 11754 County Rd. 29, Roseneath, ON, K0K 2X0, Canada. crowelltp@gmail.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>06</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur Spine J</MedlineTA><NlmUniqueID>9301980</NlmUniqueID><ISSNLinking>0940-6719</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Corrosion</Keyword><Keyword MajorTopicYN="N">Metal ions</Keyword><Keyword MajorTopicYN="N">Metallosis</Keyword><Keyword MajorTopicYN="N">Scoliosis</Keyword><Keyword MajorTopicYN="N">Spinal implants</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>09</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28624897</ArticleId><ArticleId IdType="doi">10.1007/s00586-017-5183-7</ArticleId><ArticleId IdType="pii">10.1007/s00586-017-5183-7</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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