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Retrieval of a broken surgical scalpel blade with a dangerous anterior migration in treating a herniated disk along with an osteophyte: A case report
摘要
Disc herniation along with osteophyte formation is commonly encountered and can be treated with osteophyte removal and standard discectomy. Surgical scalpel blade breakage during osteophyte removal with anterior migration of the blade into the disc space is a rare event and may cause severe injury. If the sharp end of the surgical scalpel blade penetrates the anterior longitudinal ligament, it can cause intra-abdominal and vascular injuries. The surgical scalpel blade should be removed immediately to prevent its further migration due to spine motion. A 49-year-old male patient presented with L2-L3 disk herniation with an osteophyte at the same level. A broken surgical scalpel blade became buried in the disc space after migrating anteriorly during retrieval using a pituitary rongeur. The surgical scalpel blade was retrieved by using a pituitary rongeur with real-time fluoroscopic assistance.
延伸閱讀
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