| Migration of rod through skull, into brain following C1-C2 instrumental fusion for os odontoideum: a case report. | |
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MedLine Citation:
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PMID: 20075772 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN: Case report and brief literature review. OBJECTIVE: To describe a unique complication following C1/2 fusion in a pediatric patient. SUMMARY OF BACKGROUND DATA: Os odontoideum, if symptomatic or unstable, should be treated by internal fixation. Posterior instrumented fusion of the cervical spine is not an uncommon surgical procedure. METHODS: Direct observation and management of the patient during representation with postoperative complication. RESULTS: This case report details the previously unrecorded and unusual migration of a fixation device through the skull into the brain and outlines its subsequent removal. CONCLUSION: Failure of bony fusion can result in micromotion and subsequent migration of fixation device components. This can occur even if the screw fixation is apparently sound. Extended routine radiographic follow-up would identify migration earlier. |
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Authors:
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James George Arthur Plant; Stephen J Ruff |
Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Spine Volume: 35 ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-01 Completed Date: 2010-09-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: United States |
Other Details:
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Languages: eng Pagination: E90-2 Citation Subset: IM |
Affiliation:
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Dubbo Base Hospital, New South Wales, Australia. jgap@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Bone Screws / adverse effects* Brain / radiography* Cervical Vertebrae / radiography*, surgery Child Foreign-Body Migration / etiology, radiography* Humans Male Odontoid Process / radiography*, surgery Skull / radiography Spinal Fusion / adverse effects*, instrumentation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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