脊柱硬件向脊柱静脉的迁移:一个案例报告
Emily S Eiel1, Ryan D DeAngelis2, Stephen R Barchick3
1Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
JBJS case connector
|January 8, 2026
概括
一个错位的脊柱棒引起了严重的腿部疼痛和模仿反射交感性缩症的症状. 迅速的手术切除尾静脉解决了患者的病情,突出显示了成像在诊断植入物相关并发症的重要性.
科学领域:
- 整形外科手术 整形外科手术
- 这是血管外科手术.
- 放射学 放射学是一门学科.
背景情况:
- 一名41岁的女性,在青少年腰椎脊症中曾经使用脊柱仪器,出现了持续的大腿疼痛.
- 最初的诊断是添加器菌株,但症状在两年内进展.
研究的目的:
- 报告一个罕见的脊柱植入物迁移到尾静脉的病例.
- 强调放射学在识别与骨科植入物相关的异物方面的诊断实用性.
主要方法:
- 一个患有无法解释的大腿疼痛和神经症状的患者的临床表现和诊断工作.
- 放射性成像显示在骨中存在放射性不透明的物体,并且没有腰椎脊柱仪器仪表.
- 摘除迁移的脊柱棒的手术干预.
主要成果:
- 一个13.6厘米的脊柱杆在尾静脉中被确定.
- 通过骨科手术成功切除了杆子.
- 患者的症状在术后得到缓解.
结论:
- 迁移的脊柱植入物可以呈现出多样化和误导性的症状.
- 放射图片是诊断与骨科植入物相关并发症的关键,具有成本效益的工具.
- 早期识别和手术干预是管理这种罕见但严重并发症的关键.
相关概念视频
Veins of Lower Limbs
2.2K
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
2.2K
Peripheral Artery Disease V: Postoperative Nursing Management
369
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
369


