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前路脊柱棒迁移至右大腿:前路脊柱内固定术的一种罕见并发症——病例报告及文献综述

Migration of the Anterior Spinal Rod to the Right Thigh, a Rare Complication of Anterior Spinal Instrumentations: A Case Report and a Literature Review.

作者信息

Gaston Camino Willhuber, Danilo Taype Zamboni, Guido Carabelli, Jorge Barla, Carlos Sancineto

机构信息

Institute of Orthopedics "Carlos E. Ottolenghi," Italian Hospital of Buenos Aires, Juan D. Peron 4190, C1181ACH Buenos Aires, Argentina.

出版信息

Case Rep Orthop. 2015;2015:532412. doi: 10.1155/2015/532412. Epub 2015 Nov 3.

Abstract

Posterior and anterior fusion procedures with instrumentation are well-known surgical treatments for scoliosis. Rod migration has been described as unusual complication in anterior spinal instrumentations; migration beyond pelvis is a rare complication. A 32-year-old female presented to the consultant with right thigh pain, rod migration was diagnosed, rod extraction by minimal approach was performed, and spinal instrumentation after nonunion diagnosis was underwent. A rod migration case to the right thigh is presented; this uncommon complication of spinal instrumentation should be ruled out as unusual cause of sudden pain without any other suspicions, and long-term follow-up is important to prevent and diagnose this problem.

摘要

后路和前路融合内固定手术是治疗脊柱侧弯的常用外科手术方法。棒材移位是前路脊柱内固定中一种罕见的并发症;棒材移位至骨盆以外则更为罕见。一名32岁女性因右大腿疼痛前来咨询,诊断为棒材移位,采用微创方法取出棒材,并在诊断骨不连后进行了脊柱内固定。本文报告一例棒材移位至右大腿的病例;这种脊柱内固定罕见并发症应作为突发疼痛的罕见原因排除,若无其他可疑情况,长期随访对于预防和诊断该问题很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf56/4646984/5a16afe1f280/CRIOR2015-532412.001.jpg

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