Rare complications of osteolysis and periprosthetic tissue reactions after hybrid and non-hybrid total disc replacement
Purpose Few complications have been reported for lumbar total disc replacement (TDR) and hybrid TDR fixations. This study evaluated retrieved implants and periprosthetic tissue reactions for two cases of osteolysis following disc arthroplasty with ProDisc-L prostheses. Methods Implants were examined...
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| Veröffentlicht in: | European spine journal 2015-05, Vol.24 (Suppl 4), p.494-501 |
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| container_issue | Suppl 4 |
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| container_title | European spine journal |
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| creator | Veruva, Sai Y. Lanman, Todd H. Hanzlik, Josa A. Kurtz, Steven M. Steinbeck, Marla J. |
| description | Purpose
Few complications have been reported for lumbar total disc replacement (TDR) and hybrid TDR fixations. This study evaluated retrieved implants and periprosthetic tissue reactions for two cases of osteolysis following disc arthroplasty with ProDisc-L prostheses.
Methods
Implants were examined for wear and surface damage, and tissues for inflammation, polyethylene wear debris (polarized light microscopy) and metal debris (energy-dispersive X-ray spectroscopy).
Results
Despite initial good surgical outcomes, osteolytic cysts were noted in both patients at vertebrae adjacent to the implants. For the hybrid TDR case, heterotopic ossification and tissue necrosis due to wear-induced inflammation were observed. In contrast, the non-hybrid implant showed signs of abrasion and impingement, and inflammation was observed in tissue regions with metal and polyethylene wear debris.
Conclusions
In both cases, wear debris and inflammation may have contributed to osteolysis. Surgeons using ProDisc prostheses should be aware of these rare complications. |
| doi_str_mv | 10.1007/s00586-014-3535-0 |
| format | Article |
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Few complications have been reported for lumbar total disc replacement (TDR) and hybrid TDR fixations. This study evaluated retrieved implants and periprosthetic tissue reactions for two cases of osteolysis following disc arthroplasty with ProDisc-L prostheses.
Methods
Implants were examined for wear and surface damage, and tissues for inflammation, polyethylene wear debris (polarized light microscopy) and metal debris (energy-dispersive X-ray spectroscopy).
Results
Despite initial good surgical outcomes, osteolytic cysts were noted in both patients at vertebrae adjacent to the implants. For the hybrid TDR case, heterotopic ossification and tissue necrosis due to wear-induced inflammation were observed. In contrast, the non-hybrid implant showed signs of abrasion and impingement, and inflammation was observed in tissue regions with metal and polyethylene wear debris.
Conclusions
In both cases, wear debris and inflammation may have contributed to osteolysis. Surgeons using ProDisc prostheses should be aware of these rare complications.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-014-3535-0</identifier><identifier>PMID: 25163549</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Case Report ; Device Removal ; Humans ; Joint Prosthesis - adverse effects ; Lumbar Vertebrae - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neurosurgery ; Osteolysis - diagnosis ; Osteolysis - etiology ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Prosthesis Failure - adverse effects ; Surgical Orthopedics ; Total Disc Replacement - instrumentation ; Total Disc Replacement - methods</subject><ispartof>European spine journal, 2015-05, Vol.24 (Suppl 4), p.494-501</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-d24826ec55164931ba35c7306469e688c5569443af8fb7e6fb5b1d294e3f04af3</citedby><cites>FETCH-LOGICAL-c442t-d24826ec55164931ba35c7306469e688c5569443af8fb7e6fb5b1d294e3f04af3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-014-3535-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-014-3535-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25163549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Veruva, Sai Y.</creatorcontrib><creatorcontrib>Lanman, Todd H.</creatorcontrib><creatorcontrib>Hanzlik, Josa A.</creatorcontrib><creatorcontrib>Kurtz, Steven M.</creatorcontrib><creatorcontrib>Steinbeck, Marla J.</creatorcontrib><title>Rare complications of osteolysis and periprosthetic tissue reactions after hybrid and non-hybrid total disc replacement</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
Few complications have been reported for lumbar total disc replacement (TDR) and hybrid TDR fixations. This study evaluated retrieved implants and periprosthetic tissue reactions for two cases of osteolysis following disc arthroplasty with ProDisc-L prostheses.
Methods
Implants were examined for wear and surface damage, and tissues for inflammation, polyethylene wear debris (polarized light microscopy) and metal debris (energy-dispersive X-ray spectroscopy).
Results
Despite initial good surgical outcomes, osteolytic cysts were noted in both patients at vertebrae adjacent to the implants. For the hybrid TDR case, heterotopic ossification and tissue necrosis due to wear-induced inflammation were observed. In contrast, the non-hybrid implant showed signs of abrasion and impingement, and inflammation was observed in tissue regions with metal and polyethylene wear debris.
Conclusions
In both cases, wear debris and inflammation may have contributed to osteolysis. Surgeons using ProDisc prostheses should be aware of these rare complications.</description><subject>Adult</subject><subject>Case Report</subject><subject>Device Removal</subject><subject>Humans</subject><subject>Joint Prosthesis - adverse effects</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Osteolysis - diagnosis</subject><subject>Osteolysis - etiology</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Prosthesis Failure - adverse effects</subject><subject>Surgical Orthopedics</subject><subject>Total Disc Replacement - instrumentation</subject><subject>Total Disc Replacement - methods</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU2L1TAYhYMozp3RH-BGAm7cRPPdZimDHwMDgug6pOkbJ0Pb1CRF7r83d3oVEVyF5H3OeQ85CL1g9A2jtHtbKFW9JpRJIpRQhD5CByYFJ9QI_hgdqJGU6I6ZC3RZyj2lTBmqn6ILrpgWSpoD-vnFZcA-zesUvasxLQWngFOpkKZjiQW7ZcQr5Ljm9ngHNXpcYykb4AzO7woXKmR8dxxyHB8ES1rI-VpTdRMeY_FNsE7OwwxLfYaeBDcVeH4-r9C3D--_Xn8it58_3ly_uyVeSl7JyGXPNXjVAksj2OCE8p2gWmoDuu_bQBsphQt9GDrQYVADG7mRIAKVLogr9Hr3bfF_bFCqnVsSmCa3QNqKZbqnpplw2tBX_6D3actLS_dAid6o7kSxnfLtP0qGYNccZ5ePllF7asXurdjWij21Yk-al2fnbZhh_KP4XUMD-A6UNlq-Q_5r9X9dfwEMGpjW</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>Veruva, Sai Y.</creator><creator>Lanman, Todd H.</creator><creator>Hanzlik, Josa A.</creator><creator>Kurtz, Steven M.</creator><creator>Steinbeck, Marla J.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150501</creationdate><title>Rare complications of osteolysis and periprosthetic tissue reactions after hybrid and non-hybrid total disc replacement</title><author>Veruva, Sai Y. ; Lanman, Todd H. ; Hanzlik, Josa A. ; Kurtz, Steven M. ; Steinbeck, Marla J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-d24826ec55164931ba35c7306469e688c5569443af8fb7e6fb5b1d294e3f04af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Case Report</topic><topic>Device Removal</topic><topic>Humans</topic><topic>Joint Prosthesis - adverse effects</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Osteolysis - diagnosis</topic><topic>Osteolysis - etiology</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Prosthesis Failure - adverse effects</topic><topic>Surgical Orthopedics</topic><topic>Total Disc Replacement - instrumentation</topic><topic>Total Disc Replacement - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Veruva, Sai Y.</creatorcontrib><creatorcontrib>Lanman, Todd H.</creatorcontrib><creatorcontrib>Hanzlik, Josa A.</creatorcontrib><creatorcontrib>Kurtz, Steven M.</creatorcontrib><creatorcontrib>Steinbeck, Marla J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Veruva, Sai Y.</au><au>Lanman, Todd H.</au><au>Hanzlik, Josa A.</au><au>Kurtz, Steven M.</au><au>Steinbeck, Marla J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rare complications of osteolysis and periprosthetic tissue reactions after hybrid and non-hybrid total disc replacement</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2015-05-01</date><risdate>2015</risdate><volume>24</volume><issue>Suppl 4</issue><spage>494</spage><epage>501</epage><pages>494-501</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
Few complications have been reported for lumbar total disc replacement (TDR) and hybrid TDR fixations. This study evaluated retrieved implants and periprosthetic tissue reactions for two cases of osteolysis following disc arthroplasty with ProDisc-L prostheses.
Methods
Implants were examined for wear and surface damage, and tissues for inflammation, polyethylene wear debris (polarized light microscopy) and metal debris (energy-dispersive X-ray spectroscopy).
Results
Despite initial good surgical outcomes, osteolytic cysts were noted in both patients at vertebrae adjacent to the implants. For the hybrid TDR case, heterotopic ossification and tissue necrosis due to wear-induced inflammation were observed. In contrast, the non-hybrid implant showed signs of abrasion and impingement, and inflammation was observed in tissue regions with metal and polyethylene wear debris.
Conclusions
In both cases, wear debris and inflammation may have contributed to osteolysis. Surgeons using ProDisc prostheses should be aware of these rare complications.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25163549</pmid><doi>10.1007/s00586-014-3535-0</doi><tpages>8</tpages></addata></record> |
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| ispartof | European spine journal, 2015-05, Vol.24 (Suppl 4), p.494-501 |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Case Report Device Removal Humans Joint Prosthesis - adverse effects Lumbar Vertebrae - surgery Male Medicine Medicine & Public Health Middle Aged Neurosurgery Osteolysis - diagnosis Osteolysis - etiology Postoperative Complications - diagnosis Postoperative Complications - etiology Prosthesis Failure - adverse effects Surgical Orthopedics Total Disc Replacement - instrumentation Total Disc Replacement - methods |
| title | Rare complications of osteolysis and periprosthetic tissue reactions after hybrid and non-hybrid total disc replacement |
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