Retained needle after cement injection during vertebral augmentation and its management strategy

Journal of Neurointerventional Surgery
Angelika KosseAllan Brook

Abstract

A middle aged patient with multiple myeloma resulting in numerous pathological fractures underwent an L2, L3, and L5 vertebral cement augmentation for pain relief. After injection, the trocar at L2, the final level, could not be withdrawn despite several attempts of needle rotation, a second needle inserted to distract on, and rocking the needle on the pedicle. After a neurosurgical consultation, the patient was transferred to the operating room for open removal. As the needle protruded approximately 3 inches from the patient's back, the patient could not be positioned supine, and was anesthetized and intubated in the right semi-prone position prior to being placed prone on the operating room table. The needle was surgically exposed, cut off at the pedicular bone edge, and its free component was removed.

References

Jul 23, 2013·AJNR. American Journal of Neuroradiology·O A KhanD F Kallmes
Jan 18, 2014·Seminars in Interventional Radiology·Bryan Jay, Sun Ho Ahn

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Citations

Aug 5, 2017·Materials·Puneeth ShridharYoungJae Chun
Aug 15, 2021·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·James Randolph OnggoJoshua A Hirsch

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