Destabilization of Pedicle Screws and Migration of Connecting Rod into the Posterior Cranial Fossa in a Patient After Posterior Spondylosynthesis with a Screw System
https://doi.org/10.23934/2223-9022-2024-13-3-540-543
Abstract
When performing osteosynthesis for spinal instability after traumatic injury, diagnostic difficulties arise due to the migration of metal structure components to distant “atypical” anatomical areas, which is associated with the risk of neurological deficit and life-threatening conditions. This article presents a casuistic case of migration of a metal structure component through an iatrogenic opening in the occipital bone into the posterior cranial fossa in a patient who had previously undergone instrumental correction for comminuted fractures of the cervical vertebrae. It should be noted that there are no data on “spontaneous” perforation of the occipital bone by metal osteosynthesis elements in the domestic literature.
About the Authors
I. V. Burova
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
Ilona V. Burova, Radiologist, X-ray Department
Krasnykh Partizan Str. 6/2, Krasnodar, 350012
E. A. Litvinenko
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
Elena A. Litvinenko, Candidate of Medical Sciences, Head of the Department of Radiation Diagnostics
Krasnykh Partizan Str. 6/2, Krasnodar, 350012
S. A. Kurilchik
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
Svetlana A. Kurilchik, Radiologist, X-ray Department
Krasnykh Partizan Str. 6/2, Krasnodar, 350012
M. M. Erovenko
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
Maria M. Erovenko, Radiologist
Krasnykh Partizan Str. 6/2, Krasnodar, 350012
A. N. Velichkin
Kuban State Medical University
Russian Federation
Russian Federation
Alexander N. Velichkin, 6th grade student
Mitrofan Sedin Str. 4, Krasnodar, 350063
References
1. Yeryomkin VYu, Gusev VV, Chereshnev KI. Casuistic migration of the metal fixator from the neck of the right femur to the left lung. Russian Medical Journal. 2017;25(28):2069–2071.
2. Bungartz M, Matziolis G, Layher F, Horbert V, Maslaris A, Brinkmann O. Biodegradable cement augmentation of gamma nail osteosynthesis reduces migration in pertrochanteric fractures, a biomechanical in vitro study. Clin Biomech (Bristol, Avon). 2021;84:105327. PMID: 33773169 https://doi.org/10.1016/j.clinbiomech.2021.105327
3. Baghdadi T, Baghdadi S, Dastoureh K, Yaseen Khan FM. Unusual migration of a Kirschner wire in a patient with Osteogenesis Imperfecta: A case report. Medicine. 2018;97(34):e11829. PMID: 30142774 https://doi.org/10.1097/MD.0000000000011829
4. Tamrakar R, Chapagain D. Migration of a Broken Kirschner Wire from Lateral End of Clavicle to the Cervical Spine. J Nepal Health Res Counc. 2020;18(2):327–329. PMID: 32969404 https://doi.org/10.33314/jnhrc.v18i2.2515
5. Aliou B, Adil ElA. Migration d’une broche dans le canal médullaire cervical après une ostéosynthèse de l’articulation acromio-claviculaire [Pin migration to the cervical spinal canal after osteosynthesis of acromioclavicular joint]. Pan Afr Med J. 2016;24:35. PMID: 27583099 https://doi.org/10.11604/pamj.2016.24.35.8200
6. Usikov VV, Usikov VD. Errors and Complications of Internal Transpedicular Osteosynthesis in the Treatment of Patients With Unstable Injuries of Spinal Column, Their Prevention and Treatment. Traumatology and Orthopedics of Russia. 2006;1(39):21–26. (In Russ.)
7. Hammoud M. Migration of Rod into the Posterior Cranial Fossa, After C1-C2 Laminar Hooks Fusion: Case Report and Literature Review. Int J Clin Stud Med Case Rep. 2021;8(4):1–3. Available at: file:///C:/Users/biblioteka/Downloads/Migrationofrod.pdf [Accessed Aug 20, 2024]
8. Kiran B, Sharma A, Prashant G, Parekh A. A case report of rod migration into cerebellum through foramen magnum after lateral mass fixation of cervical spine. Acta Neurochir (Wien). 2016;158(4):741–744. PMID: 26748502 https://doi.org/10.1007/s00701-015-2693-0
9. Deen HG, Nottmeier EW, Reimer R. Early complications of posterior rod-screw fixation of the cervical and upper thoracic spine. Neurosurgery 2006;59(05):1062–1067, discussion 1067–1068
Review
For citations:
Burova I.V., Litvinenko E.A., Kurilchik S.A., Erovenko M.M., Velichkin A.N. Destabilization of Pedicle Screws and Migration of Connecting Rod into the Posterior Cranial Fossa in a Patient After Posterior Spondylosynthesis with a Screw System. Russian Sklifosovsky Journal "Emergency Medical Care". 2024;13(3):540-543. (In Russ.) https://doi.org/10.23934/2223-9022-2024-13-3-540-543
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