Duransoy Yusuf Kurtuluş, Mete Mesut, Zengel Baha, Selçukı Mehmet
Celal Bayar University, School of Medicine, Neurosurgery Department, Manisa, Turkey.
Case Rep Orthop. 2013;2013:593905. doi: 10.1155/2013/593905. Epub 2013 Mar 24.
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.
尽管颈椎前路融合术是治疗颈椎疾病的一种有效方法，但该方法存在一些并发症。在此，我们通过文献回顾描述这种颈椎内固定的罕见并发症。一名23岁男性患者因C6 - C7脱位接受手术。术后10个月，他出现咯血和吞咽困难。颈椎X线片显示一枚断裂螺钉和C6椎体处的一枚钢板锁定螺钉向前移位。一枚螺钉缺失。我们推断缺失的螺钉已穿透食管并通过胃肠道自行排出。螺钉不应移位。即使是松动的螺钉在随访X线检查中也应予以关注。如果发现此类情况，应尽快考虑进行二次翻修手术，以预防可能致命的并发症。
