Metal allergy hypersensitivity after posterior thoracic spinal fusion: A case report and review of the literature

Background: Spine surgeons rarely consider metal allergies when placing hardware, as implants are thought to be inert. Case Description: A 32-year-old male presented with a skin rash attributed to the trace metal in his spinal fusion instrumentation. Patch testing revealed sensitivities to cobalt, manganese, and chromium. He underwent hardware removal and replacement with constructs of commercially pure titanium. His skin findings resolved at 2 weeks after surgery and were stable at 6 weeks. Conclusion: Hypersensitivity to metal (i.e., metal allergy) should be considered before performing instrumented spinal fusions.

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RMI 0.2% Pd

Alloy Digest ◽

10.31399/asm.ad.ti0074 ◽

1979 ◽

Vol 28 (12) ◽

Keyword(s):

Corrosion Resistance ◽

Crevice Corrosion ◽

Elevated Temperatures ◽

Pure Titanium ◽

Heat Treating ◽

Low Ph ◽

Commercially Pure Titanium ◽

Bend Strength ◽

Commercially Pure ◽

Minimum Yield

Abstract RMI 0.2% Pd is a grade of commercially pure titanium to which up to 0.2% palladium has been added. It has a guaranteed minimum yield strength of 40,000 psi with good ductility and formability. It is recommended for corrosion resistance in the chemical industry and other places where the environment is mildly reducing or varies between oxidizing and reducing. The alloy has improved resistance to crevice corrosion at low pH and elevated temperatures. This datasheet provides information on composition, physical properties, elasticity, tensile properties, and bend strength. It also includes information on corrosion resistance as well as forming, heat treating, machining, joining, and surface treatment. Filing Code: Ti-74. Producer or source: RMI Company.

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UPM CP TITANIUM GRADE 3 (UNS R50550)

Alloy Digest ◽

10.31399/asm.ad.ti0167 ◽

2020 ◽

Vol 69 (6) ◽

Keyword(s):

Corrosion Resistance ◽

Pure Titanium ◽

Heat Treating ◽

Commercially Pure Titanium ◽

Commercially Pure ◽

Continuous Service ◽

Pure Grade ◽

Grade 3 ◽

Titanium Grade ◽

Design Stress

Abstract UPM CP Titanium Grade 3 (UNS R50550) is an unalloyed commercially pure titanium that exhibits moderate strength (higher strength than that of Titanium Grade 2), along with excellent formability and corrosion resistance. It offers the highest ASME allowable design stress of any commercially pure grade of titanium, and can be used in continuous service up to 425 °C (800 °F) and in intermittent service up to 540 °C (1000 °F). This datasheet provides information on composition, physical properties, and elasticity. It also includes information on corrosion resistance as well as forming, heat treating, machining, and joining. Filing Code: Ti-167. Producer or source: United Performance Metals.

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