Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement

We report the case of a 32-year-old woman who presented with pain recurrence 20 months after she underwent a C5C6 metal-on-metal total replacement. Plan radiographs demonstrated a modification of the shape of the vertebral bodies making the prosthesis more protruding. Then, infection has been ruled...

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Autores principales: Karnoub, Mélodie-Anne, Zairi, Fahed, Aboukais, Rabih, Assaker, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4546742/
https://www.ncbi.nlm.nih.gov/pubmed/26346567
http://dx.doi.org/10.1155/2015/416548
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author Karnoub, Mélodie-Anne
Zairi, Fahed
Aboukais, Rabih
Assaker, Richard
author_facet Karnoub, Mélodie-Anne
Zairi, Fahed
Aboukais, Rabih
Assaker, Richard
author_sort Karnoub, Mélodie-Anne
collection PubMed
description We report the case of a 32-year-old woman who presented with pain recurrence 20 months after she underwent a C5C6 metal-on-metal total replacement. Plan radiographs demonstrated a modification of the shape of the vertebral bodies making the prosthesis more protruding. Then, infection has been ruled out and patch testing revealed a strongly positive reaction for chromium and cobalt. The prosthesis has been removed and a fusion achieved using a cage filled with bone graft. She has been immediately and fully relieved from her pain. We report the radiological signs that enabled early diagnosis and treatment allowing favorable outcome.
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spelling pubmed-45467422015-09-06 Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement Karnoub, Mélodie-Anne Zairi, Fahed Aboukais, Rabih Assaker, Richard Case Rep Orthop Case Report We report the case of a 32-year-old woman who presented with pain recurrence 20 months after she underwent a C5C6 metal-on-metal total replacement. Plan radiographs demonstrated a modification of the shape of the vertebral bodies making the prosthesis more protruding. Then, infection has been ruled out and patch testing revealed a strongly positive reaction for chromium and cobalt. The prosthesis has been removed and a fusion achieved using a cage filled with bone graft. She has been immediately and fully relieved from her pain. We report the radiological signs that enabled early diagnosis and treatment allowing favorable outcome. Hindawi Publishing Corporation 2015 2015-08-09 /pmc/articles/PMC4546742/ /pubmed/26346567 http://dx.doi.org/10.1155/2015/416548 Text en Copyright © 2015 Mélodie-Anne Karnoub 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
Karnoub, Mélodie-Anne
Zairi, Fahed
Aboukais, Rabih
Assaker, Richard
Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement
title Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement
title_full Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement
title_fullStr Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement
title_full_unstemmed Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement
title_short Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement
title_sort delayed hypersensitivity reaction: an increasingly recognized complication of metal-on-metal total disc replacement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4546742/
https://www.ncbi.nlm.nih.gov/pubmed/26346567
http://dx.doi.org/10.1155/2015/416548
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AT aboukaisrabih delayedhypersensitivityreactionanincreasinglyrecognizedcomplicationofmetalonmetaltotaldiscreplacement
AT assakerrichard delayedhypersensitivityreactionanincreasinglyrecognizedcomplicationofmetalonmetaltotaldiscreplacement

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