Unusual reason behind chest ache in a postoperative spinal affected person.
BMJ Case Rep. 2018 Sep 14;2018:
Authors: Dwivedi R
An 84-year-old lady with earlier spinal operations together with vertebroplasty and lumbar decompressions was admitted electively beneath the spinal group for right-sided L4/5 decompression for worsening again ache which she undergoes utilizing a posterior strategy. Postoperatively, she develops stabbing higher central chest ache and given unremarkable chest X-ray, ECG and cardiac troponin, she undergoes a CT pulmonary angiogram which reveals a fracture of the higher a part of sternum however no pulmonary embolism. There isn’t any historical past of current trauma and that is deemed to be secondary to extended spinal surgical procedure within the susceptible place in a affected person with osteopenic bones. To this point, we’ve not come throughout a case of spontaneous sternal fracture as a complication of spinal surgical procedure at our regional spinal unit. Most instances of sternal fractures are secondary to blunt anterior chest wall trauma with spontaneous fractures and stress fractures being uncommon.
PMID: 30217798 [PubMed – in process]