Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a Case
We present here a rare case of heterotopic ossification in interspinous/interlaminar Coflex device. The classical surgical indications for these implants are degenerative canal stenosis, discogenic low back pain, disk herniations, facet syndrome, and instability. However, fractures of spinous proces...
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| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2012/970642 |
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| author | Giuseppe Maida Eleonora Marcati Silvio Sarubbo |
| author_facet | Giuseppe Maida Eleonora Marcati Silvio Sarubbo |
| author_sort | Giuseppe Maida |
| collection | DOAJ |
| description | We present here a rare case of heterotopic ossification in interspinous/interlaminar Coflex device. The classical surgical indications for these implants are degenerative canal stenosis, discogenic low back pain, disk herniations, facet syndrome, and instability. However, fractures of spinous processes are a potential risk after interspinous/interlaminar devices’ implantation. Recently, heterotopic ossification, a well-known complication of hip and knee arthroplasty, has been reported after cervical and lumbar prosthesis. We performed undercutting and implantation of the dynamic interspinous/interlaminar device to treat an adult male patient with L4-L5 stenosis. The patient underwent 45-day imaging and clinical followup, and we observed both a neurological and imaging improvement. A CT bone scan, performed 3 years after surgery for recurrence of neurogenic claudication, showed a new stenosis due to an abnormal ossification all over the device. To our knowledge, this is the first reported case of heterotopic ossification in an interspinous/interlaminar dynamic device. Accordingly, we aim to suggest it as a new complication of interspinous/interlaminar devices. |
| format | Article |
| id | doaj-art-a15e322bd9834c118da760a0210b977e |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-a15e322bd9834c118da760a0210b977e2025-02-03T01:02:32ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/970642970642Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a CaseGiuseppe Maida0Eleonora Marcati1Silvio Sarubbo2Division of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, 44124 Ferrara, ItalyDivision of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, 44124 Ferrara, ItalyDivision of Neurosurgery, Department of Neuroscience and Rehabilitation, University-Hospital S. Anna, 8 Via Aldo Moro, 44124 Ferrara, ItalyWe present here a rare case of heterotopic ossification in interspinous/interlaminar Coflex device. The classical surgical indications for these implants are degenerative canal stenosis, discogenic low back pain, disk herniations, facet syndrome, and instability. However, fractures of spinous processes are a potential risk after interspinous/interlaminar devices’ implantation. Recently, heterotopic ossification, a well-known complication of hip and knee arthroplasty, has been reported after cervical and lumbar prosthesis. We performed undercutting and implantation of the dynamic interspinous/interlaminar device to treat an adult male patient with L4-L5 stenosis. The patient underwent 45-day imaging and clinical followup, and we observed both a neurological and imaging improvement. A CT bone scan, performed 3 years after surgery for recurrence of neurogenic claudication, showed a new stenosis due to an abnormal ossification all over the device. To our knowledge, this is the first reported case of heterotopic ossification in an interspinous/interlaminar dynamic device. Accordingly, we aim to suggest it as a new complication of interspinous/interlaminar devices.http://dx.doi.org/10.1155/2012/970642 |
| spellingShingle | Giuseppe Maida Eleonora Marcati Silvio Sarubbo Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a Case Case Reports in Surgery |
| title | Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a Case |
| title_full | Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a Case |
| title_fullStr | Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a Case |
| title_full_unstemmed | Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a Case |
| title_short | Heterotopic Ossification in Vertebral Interlaminar/Interspinous Instrumentation: Report of a Case |
| title_sort | heterotopic ossification in vertebral interlaminar interspinous instrumentation report of a case |
| url | http://dx.doi.org/10.1155/2012/970642 |
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