Images in clinical medicine | Volume 40, Article 173, 21 Nov 2021 | 10.11604/pamj.2021.40.173.30046

Exposed implants five years after spine surgery: poor outcomes due to poor follow-up

Tapan Patel, Shivani Patel

Corresponding author: Tapan Patel, Department of General Surgery, Baroda Medical College, Vadodara, India

Received: 27 May 2021 - Accepted: 04 Sep 2021 - Published: 21 Nov 2021

Domain: Health communication,Tuberculosis,Orthopedic surgery

Keywords: Spinal tuberculosis, exposed implants, implant extraction, patient follow-up, patient care

©Tapan Patel et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Tapan Patel et al. Exposed implants five years after spine surgery: poor outcomes due to poor follow-up. Pan African Medical Journal. 2021;40:173. [doi: 10.11604/pamj.2021.40.173.30046]

Available online at: https://www.panafrican-med-journal.com/content/article/40/173/full

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Images in clinical medicine

Exposed implants five years after spine surgery: poor outcomes due to poor follow-up

Exposed implants five years after spine surgery: poor outcomes due to poor follow-up

Tapan Patel1,&, Shivani Patel1

 

1Department of General Surgery, Baroda Medical College, Vadodara, India

 

 

&Corresponding author
Tapan Patel, Department of General Surgery, Baroda Medical College, Vadodara, India

 

 

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An eighteen-year-old female presented with the complaint of dull aching lower back pain for past 3 months. The pain was localized and was mildly aggravated by movement. She had a history of resolved spinal tuberculosis and vertebral fracture managed with pedicle screw fixation and L1-L3 vertebral fusion before five years. She had not followed up since then. On examination, there were exposed and protruding metallic implants surrounded by dried and foul smelling tissue in the lumbar area of the back (A). The skin surrounding it was normal. Lateral X-ray suggested that the screws were retracted from their original site (B). There were no signs of infection of the deeper tissues. Her vitals were normal. Hematological parameters were suggestive of mild iron deficiency anemia. Her condition was managed by surgical extraction of the implants and debridement of the damaged tissue. She was discharged after one week and her follow-up after two weeks was normal. The most important factor to be considered here is the lack of follow-up appointments. The probable reasons behind the lack of follow-up in our patient are suspected to be lack of patient education and poor socio-economic status. These factors play a major role in patient care, especially in the developing countries.

 

 

Figure 1: A) exposed implants protruding from lumbar region, surrounded by dry necrotic tissue; B) X-ray lateral view of the lumbar spine suggestive of retracted implants

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Exposed implants five years after spine surgery: poor outcomes due to poor follow-up

Images in clinical medicine

Exposed implants five years after spine surgery: poor outcomes due to poor follow-up

Images in clinical medicine

Exposed implants five years after spine surgery: poor outcomes due to poor follow-up

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Spinal tuberculosis

Exposed implants

Implant extraction

Patient follow-up

Patient care

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