{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:46Z","timestamp":1787755546540,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a patient with permanent tracheostomy in the context of muscular dystrophy presented for pneumonia. On bronchoscopy, a pedicle screw was seen penetrating the trachea. Computed tomography revealed significant anterior erosion of the T1-T3 vertebrae due to chronic pressure injury from the tracheostomy cuff, exposing pedicle screws implanted &gt;10 years earlier. The patient was fitted for a custom low-pressure cuff. No further sequelae developed for 4 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>To the best of our knowledge, this is the first case of exposed spinal fusion instrumentation due to chronic vertebral erosion. Early sagittal imaging and the use of low-pressure cuffs may help prevent this complication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00310","type":"journal-article","created":{"date-parts":[[2022,8,13]],"date-time":"2022-08-13T08:01:55Z","timestamp":1660377715000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Exposure of Pedicle Screws due to Chronic Vertebral Erosion by Tracheostomy Tube Cuff Balloon"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7062-7584","authenticated-orcid":false,"given":"Arjun","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland"},{"name":"Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4695-6142","authenticated-orcid":false,"given":"R. Alex","family":"Harbison","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2934-6374","authenticated-orcid":false,"given":"Paul D.","family":"Sponseller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,7]]},"reference":[{"issue":"4","key":"bib1-20240805","first-page":"542","article-title":"Late complications of tracheostomy","volume":"50","author":"Epstein","year":"2005","journal-title":"Respir Care."},{"issue":"2","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"340","DOI":"10.4187\/respcare.01866","article-title":"Severe tracheomalacia in the ICU: identification of diagnostic criteria and risk factor analysis from a case control study","volume":"58","author":"Kandaswamy","year":"2013","journal-title":"Respir Care."},{"issue":"2","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/S1052-3359(03)00030-9","article-title":"Tracheoesophageal fistula","volume":"13","author":"Reed","year":"2003","journal-title":"Chest Surg Clin N Am."},{"issue":"4","key":"bib4-20240805","first-page":"516","article-title":"Tracheoesophageal fistula--a complication of prolonged tracheal intubation","volume":"7","author":"Paraschiv","year":"2014","journal-title":"J Med Life."},{"issue":"2","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s00134-016-4561-7","article-title":"Vertebral erosion: a rare complication of tracheostomy tube","volume":"43","author":"Bouliaris","year":"2017","journal-title":"Intensive Care Med."},{"issue":"2","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"e4","DOI":"10.1164\/rccm.201309-1610IM","article-title":"Vertebral erosion: an uncommon complication of tracheal tubes","volume":"190","author":"Petrache","year":"2014","journal-title":"Am J Respir Crit Care Med."},{"issue":"4","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1001\/jamaoto.2018.3882","article-title":"Vertebral bodies, anterior erosion, and compression by tracheostomy canula","volume":"145","author":"Costa","year":"2019","journal-title":"JAMA Otolaryngol Head Neck Surg."},{"issue":"2","key":"bib8-20240805","first-page":"e22603","article-title":"Vertebral body avascular osteonecrosis: an unusual late complication of tracheostomy","volume":"14","author":"Rozov","year":"2022","journal-title":"Cureus."},{"issue":"pt 2","key":"bib9-20240805","first-page":"373","article-title":"An evaluation of the intra-osseous arterial anastomoses in the human vertebral body at different ages. A microarteriographic study","volume":"134","author":"Ratcliffe","year":"1982","journal-title":"J Anat."},{"issue":"Pt 1","key":"bib10-20240805","first-page":"57","article-title":"The arterial anatomy of the adult human lumbar vertebral body: a microarteriographic study","volume":"131","author":"Ratcliffe","year":"1980","journal-title":"J Anat."},{"issue":"11","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1016\/j.crad.2004.04.006","article-title":"Assessment of vertebral scalloping in neurofibromatosis type 1 with plain radiography and MRI","volume":"59","author":"Tsirikos","year":"2004","journal-title":"Clin Radiol."},{"issue":"2","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"221","DOI":"10.3171\/jns.1988.69.2.0221","article-title":"Dural ectasia and the Marfan syndrome","volume":"69","author":"Stern","year":"1988","journal-title":"J Neurosurg."},{"issue":"2","key":"bib13-20240805","first-page":"372","article-title":"Abdominal aortic aneurysm as a long time cause of low back pain and vertebral scalloping","volume":"17","author":"Yildizgoren","year":"2016","journal-title":"Pain Med."},{"issue":"7","key":"bib14-20240805","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1002\/art.1780280714","article-title":"Pressure erosions: a pattern of bone resorption in rheumatoid arthritis","volume":"28","author":"Monsees","year":"1985","journal-title":"Arthritis Rheum."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00310","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:12Z","timestamp":1787751852000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00310"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00310","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}