Migration of a Lumbar Spinal Fusion Rod Into the Posterolateral Knee: A Case Report
| Autor: | Tyler Enders, Mitchell Long, Anthony Cappellino, Dante M. Leven |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Marfan syndrome
Adult Male medicine.medical_specialty medicine.medical_treatment Radiography 03 medical and health sciences 0302 clinical medicine Postoperative Complications medicine Humans Orthopedics and Sports Medicine Knee Range of Motion Articular 030222 orthopedics Lumbar Vertebrae business.industry Lumbosacral Region Implant failure medicine.disease Surgery Knee pain Spinal Fusion Spinal fusion Neurology (clinical) Implant medicine.symptom business Range of motion Complication 030217 neurology & neurosurgery |
| Zdroj: | Spine. 46(3) |
| ISSN: | 1528-1159 |
| Popis: | Study design Case report (level V evidence). Objective We report a case of a 33-year-old man with Marfan syndrome that visited our clinic for left knee pain and stiffness. Radiographs of the left knee and lumbar spine demonstrated a spinal rod in the posterolateral left knee and its origin being a broken rod from his previous unilateral spinal fusion 17 years prior. Summary of background data Spinal arthrodesis is a common treatment modality for a wide range of spinal pathologies including infection, trauma, congenital and developmental deformities, and degenerative conditions. A rare complication that may arise from said procedure is implant migration, most often a result of pseudoarthrosis. Methods Description of the case report. Results Patient was taken to the operating room 2 weeks later for an uneventful removal of the implant and immediate improvement with pain and range of motion. Conclusion Spinal implant migration is a rare complication most often due to implant failure from pseudoarthrosis. In the case presented, this phenomenon was likely attributed to the use of unilateral instrumentation coupled with Marfan syndrome, shown to lead to insufficient implant stability and poorer fusion rates, respectively.Level of Evidence: 5. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|