Document Detail

Migration of rod through skull, into brain following C1-C2 instrumental fusion for os odontoideum: a case report.
MedLine Citation:
PMID:  20075772     Owner:  NLM     Status:  MEDLINE    
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.
James George Arthur Plant; Stephen J Ruff
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Spine     Volume:  35     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E90-2     Citation Subset:  IM    
Dubbo Base Hospital, New South Wales, Australia.
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MeSH Terms
Bone Screws / adverse effects*
Brain / radiography*
Cervical Vertebrae / radiography*,  surgery
Foreign-Body Migration / etiology,  radiography*
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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