Delayed hypersensitivity reaction caused by metal-on-metal total disc replacement
| Autor: | Richard Assaker, Jean Michel Remacle, Fahed Zairi, Mohamed Allaoui |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Total disc replacement
medicine.medical_specialty business.industry medicine.medical_treatment Circumferential fusion Cauda equina syndrome General Medicine Cobalt chloride medicine.disease Prosthesis Surgery Hypersensitivity reaction Delayed hypersensitivity Back pain medicine medicine.symptom business |
| Zdroj: | Journal of Neurosurgery: Spine. 19:389-391 |
| ISSN: | 1547-5654 |
| DOI: | 10.3171/2013.6.spine121010 |
| Popis: | The authors report the case of a 53-year-old woman who underwent placement of a metal-on-metal total disc replacement (TDR) device for the treatment of discogenic back pain. The initial postoperative course was normal, but 2 months after surgery she started to complain of a recurrence of pain and she progressively developed cauda equina syndrome. Radiological and biological findings showed an inflammatory polyneuropathy associated with an epidural mass. A diagnosis of cell-mediated hypersensitivity reaction (Type IV) was made after patch testing showed positive reactions for 1% cobalt chloride and chromium. A decision was made to remove the TDR device and to perform a circumferential fusion. This report is intended to inform the reader that systemic metal release and hypersensitivity reaction are possible complications of metal-on-metal TDR. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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