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Hans-Josef Erli, Matthias Rüger, Marcus C. Korinth |
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Anterior stabilization is a well-established technique in spine surgery. It is used in trauma care, as well as in the treatment of degenerative spine disease and spine deformities, both in conjunction with or without posterior fixation devices. Many studies have demonstrated that the use of anterior fixation proved to be superior to stand alone posterior stabilization in its ability to maintain a chosen Cobb’s and kyphosis angle over prolonged periods of time. The past 10 years saw the advent of thoracoscopic anterior fixation, which leads to faster procedures, less pain, and shorter recovery time for patients. However, in about 5–10% of cases, infections arise, which necessitate revision surgery, typically with implant removal. These revision procedures can become very challenging and can lead to serious complications. This case report demonstrates some of the associated risks and difficulties involved in the removal of anterior fixation devices. |
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