Delayed Hypersensitivity Reaction: An Increasingly Recognized Complication of Metal-on-Metal Total Disc Replacement. (9th August 2015)

• Record Type: Journal Article
• Authors: Karnoub, Mélodie-Anne; Zairi, Fahed; Aboukais, Rabih; Assaker, Richard
• Other Names: Ozer Ali F. Academic Editor.
• Is Part Of: Case reports in orthopedics. Volume 2015(2015)
• Publication Date: 2015-08-09
• Subjects: Orthopedics -- Periodicals; Orthopedics; Orthopedics; Periodicals; Electronic journals; Periodicals; 616.7
• DOI: 10.1155/2015/416548
• Languages: English
• ISSNs: 2090-6749

Abstract

Abstract : 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.