Osteodiscitis of the Lumbar Backbone Due To a Migrated Fractured Inferior Vena Cava Filter: Case Report.
World Neurosurg. 2018 Mar 07;:
Authors: Aoun SG, Bedros N, El Ahmadieh TY, Kreck J, Mehta N, Al Tamimi M
BACKGROUND: Venous thromboembolism could be a vital explanation for morbidity within the trauma inhabitants. Medical and surgical specialties have been pushing the indication for prophylactic filter placement.
CASE DESCRIPTION: A 36-year-old man introduced with axial decrease again ache with a radicular proper L2 element after lifting a heavy object. He had a historical past of penetrating mind trauma three years prior, with placement of a prophylactic inferior vena cava filter. His x-ray, computed tomography, and magnetic resonance imaging of the lumbar backbone confirmed fracture of his filter, with migration of the fractured fragment by means of the inferior vena cava and into the L2-L3 disc house, and surrounding bony lysis and extreme osteodiscitis. He was handled medically with intravenous after which oral antibiotics and improved clinically and radiographically.
CONCLUSIONS: Conservative use of filter gadgets and early retrieval as soon as their indication expires is paramount to keep away from pointless issues.
PMID: 29524713 [PubMed – as supplied by publisher]