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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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/416548 |
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| _version_ | 1832556693719875584 |
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| author | Mélodie-Anne Karnoub Fahed Zairi Rabih Aboukais Richard Assaker |
| author_facet | Mélodie-Anne Karnoub Fahed Zairi Rabih Aboukais Richard Assaker |
| author_sort | Mélodie-Anne Karnoub |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-9a6800757f7e428bbeea61c59cd1f825 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-9a6800757f7e428bbeea61c59cd1f8252025-02-03T05:44:39ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/416548416548Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc ReplacementMélodie-Anne Karnoub0Fahed Zairi1Rabih Aboukais2Richard Assaker3Department of Neurosurgery, Lille University Hospital, CHRU de Lille, 59000 Lille, FranceDepartment of Neurosurgery, Lille University Hospital, CHRU de Lille, 59000 Lille, FranceDepartment of Neurosurgery, Lille University Hospital, CHRU de Lille, 59000 Lille, FranceDepartment of Neurosurgery, Lille University Hospital, CHRU de Lille, 59000 Lille, FranceWe 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.http://dx.doi.org/10.1155/2015/416548 |
| spellingShingle | Mélodie-Anne Karnoub Fahed Zairi Rabih Aboukais Richard Assaker Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement Case Reports in Orthopedics |
| 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 |
| url | http://dx.doi.org/10.1155/2015/416548 |
| work_keys_str_mv | AT melodieannekarnoub delayedhypersensitivityreactionanincreasinglyrecognizedcomplicationofmetalonmetaltotaldiscreplacement AT fahedzairi delayedhypersensitivityreactionanincreasinglyrecognizedcomplicationofmetalonmetaltotaldiscreplacement AT rabihaboukais delayedhypersensitivityreactionanincreasinglyrecognizedcomplicationofmetalonmetaltotaldiscreplacement AT richardassaker delayedhypersensitivityreactionanincreasinglyrecognizedcomplicationofmetalonmetaltotaldiscreplacement |