Publication: Per-operative Instrument Failure in Lumbar Spine Surgery
Date
2013
Article Type
Case Report
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 101 - 104
Publisher
Institute of Medicine
Abstract
Abstract
Breakage of hardware is not an uncommon complication in spine surgery practice. Pedicle screw breakage is the commonest instrument failure encountered in spine surgery, and different relatively simple, techniques have been recommended to retrieve the threaded part of it. Per-operative breakage of an instrument like pedicle seeker and jaw of disc forceps is unpredictable and removal of an unthreaded smooth implant is difficult. We experienced breakage of the pedicle seeker while putting a pedicle screw in a case of spondylolisthesis and breakage of the mobile jaw of a disc forceps in another case of prolapsed intervertebral disc. Here we present an innovative technique of removal of the broken instrument through the pedicle. Regular maintenance and replacement of al old instrument is recommended.
Keywords: per-operative instrument breakage, spine surgery
Description
R K Pokharel
Department of Orthopaedic and Trauma Surgery (Spine Unit), Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
R B Lakhey
Department of Orthopaedic and Trauma Surgery (Spine Unit), Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
B Pokharel
Department of Orthopaedic and Trauma Surgery (Spine Unit), Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
R K Dhakal
Department of Orthopaedic and Trauma Surgery (Spine Unit), Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
A Sigdel
Department of Orthopaedic and Trauma Surgery (Spine Unit), Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
T Lalit
Department of Orthopaedic and Trauma Surgery (Spine Unit), Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
LL Shah
Department of Orthopaedic and Trauma Surgery (Spine Unit), Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
D Kafle
Department of Orthopaedic and Trauma Surgery (Spine Unit), Institute of Medicine, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Keywords
per-operative instrument breakage, spine surgery
Identifier
https://doi.org/10.59779/jiomnepal.638