Oral extrusion of a vertebral body replacement device after chordoma tumor growth and radiation: case report and review

Screw migration following anterior cervical discectomy and fusion is a very rare complication and it is often related to device failure. Even more exceptional is the extrusion of an intervertebral graft. We report the second case of migration and extrusion through the oral cavity of a cervical verte...

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Bibliographic Details
Published in:BMC surgery 2022-01, Vol.22 (1), p.22-22, Article 22
Main Authors: Gutiérrez-González, Raquel, Zamarrón, Álvaro, Ortega, Celia, Hamre, Frank, Kalantari, Teresa, Rodríguez-Boto, Gregorio
Format: Article
Language:English
Subjects:
Biomechanics
Case Report
Cervical
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - surgery
Chordoma - radiotherapy
Chordoma - surgery
Complications and side effects
Device
Diskectomy
Esophagus
Extrusion
Failure
Humans
Literature reviews
Medical imaging equipment
Oral cavity
Ostomy
Patients
Pharyngeal perforation
Radiation
Radiation therapy
Radiotherapy
Skin & tissue grafts
Spinal Fusion - adverse effects
Tumors
Tumors, Embryonal
Ulcers
Vertebrae
Vertebral Body
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Summary:Screw migration following anterior cervical discectomy and fusion is a very rare complication and it is often related to device failure. Even more exceptional is the extrusion of an intervertebral graft. We report the second case of migration and extrusion through the oral cavity of a cervical vertebral body replacement device (expandable cylinder) in a patient that had undergone cervical corpectomy due to a vertebral chordoma. The antecedent of radiation therapy as well as progressive tumor re-growth may have favored the development of this complication. A literature review is added.
ISSN:1471-2482
1471-2482
DOI:10.1186/s12893-022-01481-7