Missing Screw as a Rare Complication of Anterior Cervical Instrumentation
Although anterior cervical arthrodesis is an effective procedure for the treatment of cervical disorders, the method has some complications. Here, we describe this rare complication of cervical instrumentation with a literature review. A 23-year-old male patient was operated for a C6-C7 dislocation....
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/593905 |
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| _version_ | 1832556006809272320 |
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| author | Yusuf Kurtuluş Duransoy Mesut Mete Baha Zengel Mehmet Selçukı |
| author_facet | Yusuf Kurtuluş Duransoy Mesut Mete Baha Zengel Mehmet Selçukı |
| author_sort | Yusuf Kurtuluş Duransoy |
| collection | DOAJ |
| description | Although anterior cervical arthrodesis is an effective procedure for the treatment of cervical disorders, the method has some complications. Here, we describe this rare complication of cervical instrumentation with a literature review. A 23-year-old male patient was operated for a C6-C7 dislocation. At postoperative month 10, he presented with hemoptysis and dysphagia. Cervical roentgenograms showed anterior migrations of one broken screw and a plate-locking screw at the C6 corpus. One screw was missing. We concluded that the missing screw had perforated the esophagus and had been eliminated spontaneously through the gastrointestinal tract. No screw should migrate. Even loose screws should be noted in follow-up X-ray studies. If such findings are detected, a second operation for revision should be considered as soon as possible to prevent potentially fatal complications. |
| format | Article |
| id | doaj-art-9acb847ab07944bf9b548033c5f15ff0 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-9acb847ab07944bf9b548033c5f15ff02025-02-03T05:46:35ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/593905593905Missing Screw as a Rare Complication of Anterior Cervical InstrumentationYusuf Kurtuluş Duransoy0Mesut Mete1Baha Zengel2Mehmet Selçukı3Celal Bayar University, School of Medicine, Neurosurgery Department, Manisa, TurkeyCelal Bayar University, School of Medicine, Neurosurgery Department, Manisa, TurkeyIzmir Bozyaka Training and Research Hospital, General Surgery Department, Izmir, TurkeyCelal Bayar University, School of Medicine, Neurosurgery Department, Manisa, TurkeyAlthough anterior cervical arthrodesis is an effective procedure for the treatment of cervical disorders, the method has some complications. Here, we describe this rare complication of cervical instrumentation with a literature review. A 23-year-old male patient was operated for a C6-C7 dislocation. At postoperative month 10, he presented with hemoptysis and dysphagia. Cervical roentgenograms showed anterior migrations of one broken screw and a plate-locking screw at the C6 corpus. One screw was missing. We concluded that the missing screw had perforated the esophagus and had been eliminated spontaneously through the gastrointestinal tract. No screw should migrate. Even loose screws should be noted in follow-up X-ray studies. If such findings are detected, a second operation for revision should be considered as soon as possible to prevent potentially fatal complications.http://dx.doi.org/10.1155/2013/593905 |
| spellingShingle | Yusuf Kurtuluş Duransoy Mesut Mete Baha Zengel Mehmet Selçukı Missing Screw as a Rare Complication of Anterior Cervical Instrumentation Case Reports in Orthopedics |
| title | Missing Screw as a Rare Complication of Anterior Cervical Instrumentation |
| title_full | Missing Screw as a Rare Complication of Anterior Cervical Instrumentation |
| title_fullStr | Missing Screw as a Rare Complication of Anterior Cervical Instrumentation |
| title_full_unstemmed | Missing Screw as a Rare Complication of Anterior Cervical Instrumentation |
| title_short | Missing Screw as a Rare Complication of Anterior Cervical Instrumentation |
| title_sort | missing screw as a rare complication of anterior cervical instrumentation |
| url | http://dx.doi.org/10.1155/2013/593905 |
| work_keys_str_mv | AT yusufkurtulusduransoy missingscrewasararecomplicationofanteriorcervicalinstrumentation AT mesutmete missingscrewasararecomplicationofanteriorcervicalinstrumentation AT bahazengel missingscrewasararecomplicationofanteriorcervicalinstrumentation AT mehmetselcukı missingscrewasararecomplicationofanteriorcervicalinstrumentation |