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CC BY 4.0 · Indian Journal of Neurosurgery 2024; 13(01): 073-075
DOI: 10.1055/s-0043-1775735
Case Report

Rod Migration into the Posterior Cranial Fossa after C1–C2–C3–C4 Screw Fixation: Case Report and Review of the Literature

Igor Vadimovich Basankin
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
,
Vladimir Alekseevich Porkhanov
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
,
Abram Akopovich Giulzatyan 
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
,
Pavel Borisovich Nesterenko
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
,
Eduard Romanovich Khurshudyan
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
,
Marina Igorevna Tomina
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
,
Ivan Evgenievich Gritsaev
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
,
Karapet Karapetovich Takhmazyan
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
,
Sergey Borisovich Malakhov
1   Research Institute Krasnodar Regional Hospital 1 after Prof. S.V. Ochapovsky Spinal Surgery Department N°3, Krasnodar, Russia
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Abstract

Screw loosening, avulsion, fracture, and rod migration are mechanical complications associated with dorsal fixation of the cervical spine. These usually occur in the late postoperative period and range from 2 to 5%. In this article, we describe a rare case of rod migration into the posterior cranial fossa 4 years after C1–C2–C3–C4 screw fixation in a patient with traumatic fracture of the C2 and C3 vertebrae.

Keywords

cervical spine - complication - neurosurgery - rod migration - screw fixation


Publication History

Article published online:
31 October 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Gubin AV, Burtsev AV. Posterior screw fixation of the craniofacial junction. Hirurgiâ Pozvonočnika 2014; (02) 42-48
    PubMedGoogle Scholar
  • 2 Aleynik AY, Mlyavykh SG, Bokov AE. Transpedicular screw fixation of cervical spine: literature review and clinical data. Hirurgiâ Pozvonočnika 2017; 14 (03) 47-53
    CrossrefPubMedGoogle Scholar
  • 3 Magomedov SS, Dokish MYu, Tatarintsev AP. Transpedicular free-hand fixation in the subaxial cervical spine. Hirurgiâ Pozvonočnika 2018; 15 (03) 13-22
    CrossrefPubMedGoogle Scholar
  • 4 Basankin IV, Giulzatyan АА, Nesterenko PB, Bagaudinov АB, Tayurski DА, Mukhanov МL. Experience of using transpedicular osteosynthesis in traumatic spondylolisthesis of the axis. Sovrem Tekhnologii Med 2021; 13 (05) 47-53
    CrossrefPubMedGoogle Scholar
  • 5 Norkin IA, Chekhonatsky AA, Ninel VG, Ostrovsky VV. Treatment of cervical spine fracture in a patient with Bekhterevs disease. Hirurgiâ Pozvonočnika 2007; (02) 23-25
    CrossrefPubMedGoogle Scholar
  • 6 Badiee RK, Mayer R, Pennicooke B, Chou D, Mummaneni PV, Tan LA. Complications following posterior cervical decompression and fusion: a review of incidence, risk factors, and prevention strategies. J Spine Surg 2020; 6 (01) 323-333
    CrossrefPubMedGoogle Scholar
  • 7 Kiran B, Sharma A, Prashant G, Parekh A. A case report of rod migration into cerebellum through foramen magnum after lateral mass fixation of cervical spine. Acta Neurochir (Wien) 2016; 158 (04) 741-744
    CrossrefPubMedGoogle Scholar
  • 8 Deen HG, Nottmeier EW, Reimer R. Early complications of posterior rod-screw fixation of the cervical and upper thoracic spine. Neurosurgery 2006; 59 (05) 1062-1067 , discussion 1067–1068
    CrossrefPubMedGoogle Scholar
  • 9 Ezzat AA, Salah AM. Rod migration through foramen magnum into posterior fossa after cervical spine lateral mass fixation: a case report and literature review. Surg Neurol Int 2022; 13: 514
    CrossrefPubMedGoogle Scholar