In Situ Reconstruction of a Painful Sternal Z-Deformity Nonunion in a Severely Osteoporotic and Kyphotic Patient: A Case Report

Sophia Mavrommatis, Claire N. Thomas, Lisa K. Schroder, Peter A. Cole

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Case:An osteoporotic and kyphotic 72-year-old woman presented with sternal pain, severe chest instability, and shortness of breath secondary to a traumatic sternal nonunion resulting from an unhealed sternal fracture sustained in a motor vehicle accident several months earlier. One-year functional and radiographic outcomes are presented with complete resolution of symptoms.Conclusion:Consideration for treatment with multiplanar, contourable, locked plating, augmented by autogenous graft, is warranted in the setting of sternal deformity and nonunion, particularly in the setting of osteoporosis and other sagittal plane deformity.

Original languageEnglish (US)
Article numbere21.00231
JournalJBJS case connector
Volume11
Issue number4
DOIs
StatePublished - Oct 27 2021

Bibliographical note

Funding Information:
P.A. Cole reports grants from DePuy Synthes and Stryker; education grants from COTA, AONA, OMeGA, Stryker, Zimmer Biomet, Acumed, DePuy Synthes, and KLS Martin; personal fees from AO foundation, Exactech, and J&J DePuy Synthes; and others from Bone Foam, Inc, outside the submitted work. L.K. Schroder reports personal fees from Exactech and J&J DePuy Synthes outside the submitted work. S. Mavrommatis and C.N. Thomas report no relationships/conditions/circumstances that present a potential conflict of interest.

Publisher Copyright:
© 2021 by the Journal of Bone and Joint Surgery, Incorporated.

Keywords

  • autogenous bone graft
  • elderly
  • osteoporosis
  • sagittal plane deformity
  • sternal pain
  • thoracic kyphosis
  • traumatic sternal nonunion
  • variable-angle locking plates

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