Vertebral Body Erosion and Subsequent Back Pain Secondary to a Vena Cava Filter

BACKGROUND A patient with multiple open lumbar procedures, the most recent of which was complicated by symptomatic pulmonary embolus, underwent placement of an inferior vena cava filter (IVCF). Two years after placement, she developed low back pain with radicular symptoms. CT of the lumbar spine demonstrated vertebral body erosion from the IVCF strut. In this brief report, we describe L2 vertebral body erosion, radiographic findings, and a brief review of the literature. OBJECTIVE To describe radiographic findings of vertebral body erosion from IVCF as well as review the literature regarding this and other complications of IVCF placement. METHODS Retrospective, single patient chart review. RESULTS The patient's IVCF was successfully removed without complication. The pain and radicular symptoms resolved by one month follow-up. CONCLUSIONS Based on the literature, most IVCFs with evidence of bony erosion are removed except when patient comorbidities, goals of care, or a complete absence of symptoms make removal inadvisable.