J Mater Sci: Mater Med (2018) 29:3 DOI 10.1007/s10856-017-6011-7 BIOMATERIALS-TISSUE INTERACTION IN HUMANS Original Research Three cases of metallosis associated with spine instrumentation 1 1 1 1 ● ● ● ● Reed Ayers Mackenzie Miller Jeffery Schowinsky Evalina Burger 1 1 Vikas Patel Christopher Kleck Received: 25 July 2017 / Accepted: 23 November 2017 © Springer Science+Business Media, LLC, part of Springer Nature 2017 Abstract The characteristic trait of metallosis is the pre- that is normally removed and discarded was collected for sence of tissue staining. Analyzing explanted revision ICP-MS/AES analysis. The presence of fretting corrosion, hardware from spine surgeries and performing ICPMS/ galling and corrosion fatigue was found on all explanted AES analysis on removed tissue samples, a clinically hardware. Cr levels are signiﬁcantly higher than what was relevant deﬁnition for metallosis may be developed. previously published as normal in muscle 0.03 μg/g. One Results of the analysis identiﬁed hardware fretting wear case was a 4 order of magnitude elevation with the other 2 and corrosion, and ICP-MS/AES analysis identiﬁed ele- approximately 2 orders of magnitude increase. Titanium vated metal ion concentrations in all cases. This supports and Co concentrations are also signiﬁcantly increased. the hypothesis that corrosion
Journal of Materials Science: Materials in Medicine – Springer Journals
Published: Dec 1, 2017
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