Thoracic vertebral body fracture after total hip replacement in diffuse idiopathic skeletal hyperostosis.

Iatrogenic Lumbar Vertebral Fracture during Osteosynthesis for a Trochanteric Fracture of the Femur in Diffuse Idiopathic Skeletal Hyperostosis

Vertebral fractures occur with only slight trauma in patients with diffuse idiopathic skeletal hyperostosis (DISH). However, a lumbar vertebra fracture, due to an intraoperative body position has not been previously reported. An 87-year-old woman with kyphosis sustained a left trochanteric fracture of her femur. The patient was placed in a supine position during the operation. Postoperatively, ...

Lumbar chance fracture after direct anterior total hip arthroplasty

This report describes a patient with ankylosing spondylitis (AS) who underwent total hip arthroplasty (THA) by the direct anterior approach and sustained a L4-5 extension fracture dislocation with neural deficits. A magnetic resonance imaging revealed an epidural hematoma at the site of the fracture causing critical stenosis. The patient was taken to the operating room for a L3-S1 posterior dec...

Posterior Surgical Approach for Cervical Fracture in a Patient with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report

Background: To explain posterior approach for a case with vertebral fracture caused by trauma in a patient with diffuse idiopathic skeletal hyperostosis (DISH) and evaluation its outcome and effects. Case Presentation: A 57 years-old man came to emergency room due to falling and severe cervical pain. The patient was neurologically intact and radiological surveys revealed fractures in C6 cervica...

Spinal fracture and paraplegia after minimal trauma in a patient with ankylosing vertebral hyperostosis.

Compound osteosynthesis in the thoracic spine for treatment of vertebral metastases. Technical report.

Metastases to vertebrae often cause bone destruction leading to instability and neural compression. Anterior surgical approaches allow tumor resection and direct neural decompression. For patients with a short life expectancy, vertebral body replacement with methyl-methacrylate polymerized in situ can be used for load sharing in the axial plane. Screws hung from the rod into the corpectomy site...