Passage of an Anterior Odontoid Screw through Gastrointestinal Tract
Purpose. Anterior screw fixation has become a popular surgical treatment method for instable odontoid fractures. Screw loosening and migration are a rare, severe complication following anterior odontoid fixation, which can lead to esophagus perforation and requires revision operation. Methods. We re...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/2923696 |
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| author | L. Leitner C. I. Brückmann M. M. Gilg G. Bratschitsch P. Sadoghi A. Leithner R. Radl |
| author_facet | L. Leitner C. I. Brückmann M. M. Gilg G. Bratschitsch P. Sadoghi A. Leithner R. Radl |
| author_sort | L. Leitner |
| collection | DOAJ |
| description | Purpose. Anterior screw fixation has become a popular surgical treatment method for instable odontoid fractures. Screw loosening and migration are a rare, severe complication following anterior odontoid fixation, which can lead to esophagus perforation and requires revision operation. Methods. We report a case of screw loosening and migration after anterior odontoid fixation, which perforated the esophagus and was excreted without complications in a 78-year-old male patient. Results. A ventral dislocated anterior screw perforated through the esophagus after eight years after implantation and was excreted through the gastrointestinal (GI) tract. At a 6-month follow-up after the event the patient was asymptomatic. Conclusion. Extrusion via the GI tract is not safe enough to be considered as a treatment option for loosened screws. Some improvements could be implemented to prevent such an incident. Furthermore, this case is a fine example that recent preoperative imaging is mandatory before revision surgery for screw loosening. |
| format | Article |
| id | doaj-art-0ea3ba0c2752486da50717280c020a5b |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-0ea3ba0c2752486da50717280c020a5b2025-02-03T01:11:36ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/29236962923696Passage of an Anterior Odontoid Screw through Gastrointestinal TractL. Leitner0C. I. Brückmann1M. M. Gilg2G. Bratschitsch3P. Sadoghi4A. Leithner5R. Radl6Department of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaDepartment of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaDepartment of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaDepartment of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaDepartment of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaDepartment of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaDepartment of Orthopaedic Surgery, Medical University of Graz, Graz, AustriaPurpose. Anterior screw fixation has become a popular surgical treatment method for instable odontoid fractures. Screw loosening and migration are a rare, severe complication following anterior odontoid fixation, which can lead to esophagus perforation and requires revision operation. Methods. We report a case of screw loosening and migration after anterior odontoid fixation, which perforated the esophagus and was excreted without complications in a 78-year-old male patient. Results. A ventral dislocated anterior screw perforated through the esophagus after eight years after implantation and was excreted through the gastrointestinal (GI) tract. At a 6-month follow-up after the event the patient was asymptomatic. Conclusion. Extrusion via the GI tract is not safe enough to be considered as a treatment option for loosened screws. Some improvements could be implemented to prevent such an incident. Furthermore, this case is a fine example that recent preoperative imaging is mandatory before revision surgery for screw loosening.http://dx.doi.org/10.1155/2017/2923696 |
| spellingShingle | L. Leitner C. I. Brückmann M. M. Gilg G. Bratschitsch P. Sadoghi A. Leithner R. Radl Passage of an Anterior Odontoid Screw through Gastrointestinal Tract Case Reports in Medicine |
| title | Passage of an Anterior Odontoid Screw through Gastrointestinal Tract |
| title_full | Passage of an Anterior Odontoid Screw through Gastrointestinal Tract |
| title_fullStr | Passage of an Anterior Odontoid Screw through Gastrointestinal Tract |
| title_full_unstemmed | Passage of an Anterior Odontoid Screw through Gastrointestinal Tract |
| title_short | Passage of an Anterior Odontoid Screw through Gastrointestinal Tract |
| title_sort | passage of an anterior odontoid screw through gastrointestinal tract |
| url | http://dx.doi.org/10.1155/2017/2923696 |
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