SHORT-TERM AND LONG-TERM FAILURES OF ANTERIOR POLYMETHYLMETHACRYLATE CONSTRUCT WITH ESOPHAGEAL-PERFORATION

被引:23
作者
HALLIGAN, M [1 ]
HUBSCHMANN, OR [1 ]
机构
[1] UNIV MED & DENT NEW JERSEY,DEPT SURG,NEWARK,NJ 07103
关键词
Anterior fusion; Cervical spinel; Esophagoal perforation; Media stonitis; Polymethylmethacrylate construct;
D O I
10.1097/00007632-199305000-00014
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:759 / 761
页数:3
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