SPECT-CT Assessment of Pseudarthrosis after Spinal Fusion: Diagnostic Pitfall due to a Broken Screw

A 43-year-old drug addicted female was referred for a L5-S1 posterolateral in situ fixation with autologous graft because of an L5/S1 severe discopathy with listhesis. After six months, low back pain recurred. A Tc-99m HDP SPECT-CT diagnosed a pseudarthrosis with intense uptake of the L5-S1 endplate...

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Detalles Bibliográficos
Autores principales: Rager, Olivier, Amzalag, Gaël, Varoquaux, Arthur, Schaller, Karl, Ratib, Osman, Tessitore, Enrico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789298/
https://www.ncbi.nlm.nih.gov/pubmed/24159394
http://dx.doi.org/10.1155/2013/502517
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author Rager, Olivier
Amzalag, Gaël
Varoquaux, Arthur
Schaller, Karl
Ratib, Osman
Tessitore, Enrico
author_facet Rager, Olivier
Amzalag, Gaël
Varoquaux, Arthur
Schaller, Karl
Ratib, Osman
Tessitore, Enrico
author_sort Rager, Olivier
collection PubMed
description A 43-year-old drug addicted female was referred for a L5-S1 posterolateral in situ fixation with autologous graft because of an L5/S1 severe discopathy with listhesis. After six months, low back pain recurred. A Tc-99m HDP SPECT-CT diagnosed a pseudarthrosis with intense uptake of the L5-S1 endplates and a fracture of the right S1 screw just outside the metal-bone interface without any uptake or bone resorption around the screw. The absence of uptake around a broken screw is a pitfall that the physician should be aware of.
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spelling pubmed-37892982013-10-24 SPECT-CT Assessment of Pseudarthrosis after Spinal Fusion: Diagnostic Pitfall due to a Broken Screw Rager, Olivier Amzalag, Gaël Varoquaux, Arthur Schaller, Karl Ratib, Osman Tessitore, Enrico Case Rep Orthop Case Report A 43-year-old drug addicted female was referred for a L5-S1 posterolateral in situ fixation with autologous graft because of an L5/S1 severe discopathy with listhesis. After six months, low back pain recurred. A Tc-99m HDP SPECT-CT diagnosed a pseudarthrosis with intense uptake of the L5-S1 endplates and a fracture of the right S1 screw just outside the metal-bone interface without any uptake or bone resorption around the screw. The absence of uptake around a broken screw is a pitfall that the physician should be aware of. Hindawi Publishing Corporation 2013 2013-09-18 /pmc/articles/PMC3789298/ /pubmed/24159394 http://dx.doi.org/10.1155/2013/502517 Text en Copyright © 2013 Olivier Rager et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rager, Olivier
Amzalag, Gaël
Varoquaux, Arthur
Schaller, Karl
Ratib, Osman
Tessitore, Enrico
SPECT-CT Assessment of Pseudarthrosis after Spinal Fusion: Diagnostic Pitfall due to a Broken Screw
title SPECT-CT Assessment of Pseudarthrosis after Spinal Fusion: Diagnostic Pitfall due to a Broken Screw
title_full SPECT-CT Assessment of Pseudarthrosis after Spinal Fusion: Diagnostic Pitfall due to a Broken Screw
title_fullStr SPECT-CT Assessment of Pseudarthrosis after Spinal Fusion: Diagnostic Pitfall due to a Broken Screw
title_full_unstemmed SPECT-CT Assessment of Pseudarthrosis after Spinal Fusion: Diagnostic Pitfall due to a Broken Screw
title_short SPECT-CT Assessment of Pseudarthrosis after Spinal Fusion: Diagnostic Pitfall due to a Broken Screw
title_sort spect-ct assessment of pseudarthrosis after spinal fusion: diagnostic pitfall due to a broken screw
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3789298/
https://www.ncbi.nlm.nih.gov/pubmed/24159394
http://dx.doi.org/10.1155/2013/502517
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