Anterior cervical screw extrusion leading to acute upper airway obstruction: case report.

Abstract:

STUDY DESIGN:Case report of late postoperative complication. SUMMARY OF BACKGROUND DATA:There have been a number of reports of migration and extrusion of cervical fusion instrumentation. The majority of such cases have a benign outcome. To our knowledge, cervical instrumentation extrusion resulting in prevertebral abscess and acute airway obstruction has not been reported. METHODS:A 56-year-old man who had undergone a prior C3-C6 anterior cervical decompression and fusion presented to a hospital with dysphagia and acute airway obstruction requiring an emergency tracheostomy. His neck radiograph showed that a C6 screw was missing compared to prior films. Magnetic resonance imaging showed a large prevertebral abscess anterior to C2-C7 causing complete upper airway obstruction. RESULTS:He underwent surgical drainage of the abscess and had a good neurologic recovery. CONCLUSIONS:We report a case of acute upper airway obstruction from prevertebral abscess, likely secondary to a loosened anterior cervical screw penetrating the prevertebral soft tissue. In contrast to case reports in the literature involving instrumentation extrusion with a usually benign outcome, our case presented with a life-threatening condition.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Wong DT,Fehlings MG,Massicotte EM

doi

10.1097/01.brs.0000186861.82651.00

keywords:

subject

Has Abstract

pub_date

2005-11-15 00:00:00

pages

E683-6

issue

22

eissn

0362-2436

issn

1528-1159

pii

00007632-200511150-00021

journal_volume

30

pub_type

杂志文章

相关文献

SPINE文献大全
  • Segmental contribution toward total lumbar range of motion in disc replacement and fusions: a comparison of operative and adjacent levels.

    abstract:STUDY DESIGN:Radiographic results from a prospective, randomized, multicenter trial assessing patients who underwent lumbar total disc replacement (TDR) or circumferential arthrodesis for 1-level degenerative disc disease. OBJECTIVE:To quantify the relative segmental contribution to total lumbar range of motion (ROM) ...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/BRS.0b013e3181af2622

    authors: Auerbach JD,Jones KJ,Milby AH,Anakwenze OA,Balderston RA

    更新日期:2009-11-01 00:00:00

  • The effect of fear of movement beliefs on pain and disability after surgery for lumbar and cervical degenerative conditions.

    abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To examine differences between preoperative and postoperative fear of movement and investigate the relationship between fear of movement and pain, disability and physical health after spinal surgery for degenerative conditions. SUMMARY OF BACKGROUND DATA:Consistent evi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181f8c6f4

    authors: Archer KR,Wegener ST,Seebach C,Song Y,Skolasky RL,Thornton C,Khanna AJ,Riley LH 3rd

    更新日期:2011-09-01 00:00:00

  • Adverse Events Related to Transcranial Electric Stimulation for Motor-evoked Potential Monitoring in High-risk Spinal Surgery.

    abstract:STUDY DESIGN:Prospective multicenter study. OBJECTIVE:The aim of this study was to study the incidence of nonneurologic adverse events related to transcranial electric stimulation (TES) for intraoperative spinal cord monitoring (IOM) with motor-evoked potentials (MEPs) (Tc(E)- MEPs) and determine the need for safety p...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000003115

    authors: Yoshida G,Imagama S,Kawabata S,Yamada K,Kanchiku T,Fujiwara Y,Tadokoro N,Takahashi M,Wada K,Yamamoto N,Ushirozako H,Kobayashi K,Yasuda A,Ando M,Tani T,Matsuyama Y

    更新日期:2019-10-15 00:00:00

  • What is the correlation of in vivo wear and damage patterns with in vitro TDR motion response?

    abstract:STUDY DESIGN:This study combined the evaluation of retrieved total disc replacements (TDRs) with a biomechanical study using human lumbar spines. Thirty-eight CHARITE TDRs were retrieved from 32 patients after 7.3 years average implantation. All implants were removed because of intractable back pain and/or facet degene...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318165e3be

    authors: Kurtz SM,Patwardhan A,MacDonald D,Ciccarelli L,van Ooij A,Lorenz M,Zindrick M,O'Leary P,Isaza J,Ross R

    更新日期:2008-03-01 00:00:00

  • Long-term follow-up of lower lumbar fusion patients.

    abstract::To determine the long-term effects of lower lumbar fusion, 94 subjects were catalogued from medical records. They had a lumbar arthrodesis at the third lumbar level or below and their operations were performed before 1964. Twenty-four were not located and 8 were deceased. Sixty-two subjects (72% of available sample) c...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198703000-00004

    authors: Lehmann TR,Spratt KF,Tozzi JE,Weinstein JN,Reinarz SJ,el-Khoury GY,Colby H

    更新日期:1987-03-01 00:00:00

  • Interexaminer reliability of low back pain assessment using the McKenzie method.

    abstract:STUDY DESIGN:A test-retest design was used. OBJECTIVE:To assess interexaminer reliability of the McKenzie method for performing clinical tests and classifying patients with low back pain. SUMMARY OF BACKGROUND DATA:Clinical methods and tests classifying patients with nonspecific low back pain have been based mainly o...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200204150-00016

    authors: Kilpikoski S,Airaksinen O,Kankaanpää M,Leminen P,Videman T,Alen M

    更新日期:2002-04-15 00:00:00

  • Simian immunodeficiency virus (human HIV-II) transmission in allograft bone procedures.

    abstract:STUDY DESIGN:Infection of rhesus monkeys (Macaca mulatta) with simian immunodeficiency virus (SIV, HIV-II) was used to study disease transmission in allograft bone. Four allograft bone processing techniques--fresh, fresh frozen, double freeze-thaw, and double freeze-thaw with chemical decontamination--were evaluated. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Cook SD,Salkeld SL,Prewett AB

    更新日期:1995-06-15 00:00:00

  • The role of torsion in cervical spine trauma.

    abstract::A dynamic servocontrolled torsion machine has been used to characterize cervical injury due to pure rotation of the head. Resultant force moment, torque, and applied rotation have been measured. Torque applied to the base of the skull resulted in injury to the atlantoaxial joint. No evidence of lower cervical injury w...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199108000-00002

    authors: Myers BS,McElhaney JH,Doherty BJ,Paver JG,Gray L

    更新日期:1991-08-01 00:00:00

  • Analgesic effects of prostaglandin E2 receptor subtype EP1 receptor antagonist: experimental study of application of nucleus pulposus.

    abstract:STUDY DESIGN:The effect of an EP1 receptor antagonist on pain-related behavior induced by nucleus pulposus (NP) applied to the dorsal root ganglion (DRG) in rats was investigated. OBJECTIVE:We investigated pain-related behavior, the amount of prostaglandin E2 (PGE2), and neural damage to the DRG after application of N...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181fa1fca

    authors: Sekiguchi M,Otoshi K,Kikuchi S,Konno S

    更新日期:2011-10-15 00:00:00

  • Administration of sodium ibandronate in the treatment of complicated giant cell tumor of the spine.

    abstract:STUDY DESIGN:Case study. OBJECTIVE:To present three complicated cases of giant cell tumor of the spine treated with sodium ibandronate. SUMMARY OF BACKGROUND DATA:Spinal giant cell tumors are a rare clinical entity with a high recurrence rate after operation. Furthermore, complete resection of such lesions remains a ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182127f91

    authors: Zhang W,Zhang Y,Li P,Rhodesm SD,Wang Y,Xue X,Dong Y,Ding W,Shen Y,Zhang B

    更新日期:2011-08-01 00:00:00

  • The biochemistry of the action of chymopapain in relief of sciatica.

    abstract::A study has been made of the mechanism of action of intradiscal injections of preparations of chymopapain in the treatment of sciatica. Such preparations were found to contain at least four distinct proteins, but enzymatically active chymopapain was the component mainly responsible for releasing glycosaminoglycan from...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198609000-00006

    authors: Buttle DJ,Abrahamson M,Barrett AJ

    更新日期:1986-09-01 00:00:00

  • Urgent surgical decompression compared to methylprednisolone for the treatment of acute spinal cord injury: a randomized prospective study in beagle dogs.

    abstract:STUDY DESIGN:Experimental dog model of acute spinal cord injury. OBJECTIVE:To compare the relative value of methylprednisolone, surgical decompression, or both for the treatment of traumatic spinal cord injury. SUMMARY OF BACKGROUND DATA:Acute spinal cord injury results from both primary damage to the spinal cord at ...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e31818786db

    authors: Rabinowitz RS,Eck JC,Harper CM Jr,Larson DR,Jimenez MA,Parisi JE,Friedman JA,Yaszemski MJ,Currier BL

    更新日期:2008-10-01 00:00:00

  • Gait abnormalities arising from latrogenic loss of lumbar lordosis secondary to Harrington instrumentation in lumbar fractures.

    abstract::Six patients with lumbar fractures were studied at the Pathokinesiology laboratory at Rancho Los Amigos Hospital following posterior Harrington distraction instrumentation to identify changes in posture and gait associated with iatrogenic loss of lumbar lordosis. Three patients, all with painful rods, were treated wit...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198307000-00007

    authors: Hasday CA,Passoff TL,Perry J

    更新日期:1983-07-01 00:00:00

  • Cervical and thoracic juxtafacet cysts causing neurologic deficits.

    abstract:STUDY DESIGN:Case reports and review of the literature. OBJECTIVES:To review the clinical features, treatment, and outcome of juxtafacet cysts. SUMMARY OF BACKGROUND DATA:There have previously been 4 reported cases of thoracic juxtafacet cysts and 19 cases of cervical juxtafacet cysts. Cervical cysts have usually ori...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-200004150-00012

    authors: Stoodley MA,Jones NR,Scott G

    更新日期:2000-04-15 00:00:00

  • Intraabdominal pressure response to loads applied to the torso in normal subjects.

    abstract::The study is an investigation into the form of the abdominal pressure reflex in normal individuals under isometric loading of the torso. Various directions of load are imposed, and both flexed and upright postures are adopted. The sensitivity of the pressurization to the applied moment is calculated, the form of the r...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198003000-00009

    authors: Grew ND

    更新日期:1980-03-01 00:00:00

  • The effect of imposed leg length difference on pelvic bone symmetry.

    abstract::This study was designed to examine the effect of varying degrees of imposed leg length difference on symmetry of the innominate bones in healthy college women with relatively equal leg lengths. Subjects' leg length was determined by clinical and roentgenographic procedures. Position of the innominate bones with and wi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199303000-00012

    authors: Cummings G,Scholz JP,Barnes K

    更新日期:1993-03-01 00:00:00

  • External Validation of the Adult Spinal Deformity (ASD) Frailty Index (ASD-FI) in the Scoli-RISK-1 Patient Database.

    abstract:STUDY DESIGN:Analysis of a prospective multicenter database. OBJECTIVE:To assess the ability of the recently created Adult Spinal Deformity (ASD) Frailty Index (ASD-FI) to predict odds of major complications and length of hospital stay for patients who had more severe preoperative deformity and underwent more invasive...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002717

    authors: Miller EK,Lenke LG,Neuman BJ,Sciubba DM,Kebaish KM,Smith JS,Qiu Y,Dahl BT,Pellisé F,Matsuyama Y,Carreon LY,Fehlings MG,Cheung KM,Lewis S,Dekutoski MB,Schwab FJ,Boachie-Adjei O,Mehdian H,Bess S,Shaffrey CI,Ames CP

    更新日期:2018-10-15 00:00:00

  • A Study on the Anatomical Relationship of the Lumbar Extrapedicular Puncture Approach with the Spinal Nerve and its Branches.

    abstract:STUDY DESIGN:An anatomical study in fifteen cadavers. OBJECTIVE:To observe the anatomical relationship of the extrapedicular puncture approach with the spinal nerve and its branches, evaluate the risk of injury to these nerves and recommend a safe puncture path for lumbar extrapedicular percutaneous vertebroplasty (PV...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003947

    authors: Zhong Y,Luo L,Zhao C,Li P,Dong B,Wang Z,Jiang D,Zhou Q,Liu L

    更新日期:2021-01-08 00:00:00

  • Methodological quality of randomized clinical trials on treatment efficacy in low back pain.

    abstract:STUDY DESIGN:This was a review of criteria-based meta-analyses. OBJECTIVES:To assess the methodological quality of published randomized clinical trials on the efficacy of commonly used interventions in low back pain. SUMMARY OF BACKGROUND DATA:During the last several decades, the number of published randomized clinic...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/00007632-199501150-00021

    authors: Koes BW,Bouter LM,van der Heijden GJ

    更新日期:1995-01-15 00:00:00

  • The effect on the lumbosacral spine of long spinal fusion for idiopathic scoliosis. A minimum 10-year follow-up.

    abstract::The effect on the lumbosacral spine of long spinal fusion in adolescent idiopathic scoliosis was studied in 22 patients. The average duration of follow-up was 12.8 years. Corrections of the coronal curves through instrumentation were satisfactory. However, a kyphosis was produced at the fused segment of the lumbar spi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198712000-00010

    authors: Luk KD,Lee FB,Leong JC,Hsu LC

    更新日期:1987-12-01 00:00:00

  • Risk factors for heterotopic ossification in patients with spinal cord injury: a case-control study of 264 patients.

    abstract:STUDY DESIGN:Case-control study. OBJECTIVE:We designed a case-control study to analyze the risk factors associated with the development of heterotopic ossification (HO) in patients with traumatic spinal cord injury. SUMMARY OF BACKGROUND DATA:Patients with spinal cord injury have a high risk of developing HO, althoug...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31825ee81b

    authors: Citak M,Suero EM,Backhaus M,Aach M,Godry H,Meindl R,Schildhauer TA

    更新日期:2012-11-01 00:00:00

  • Wire-holding frame for sublaminar segmental spinal instrumentation.

    abstract:METHODS:A wire-holding frame developed for sublaminar segmental instrumentation (SSI) has been used at the authors' institution for 14 years. RESULTS:In addition to careful technique of sublaminar wire passage, the frame reduces the risk of potential neurologic injury after wire passage by keeping the wires taut again...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199405001-00020

    authors: Segal LS,Schwentker EP

    更新日期:1994-05-15 00:00:00

  • Multimodal Pain Management and Postoperative Outcomes in Lumbar Spine Fusion Surgery: A Population-based Cohort Study.

    abstract:STUDY DESIGN:Retrospective population-based cohort analysis. OBJECTIVE:Given the lack of large-scale data on the use and efficacy of multimodal analgesia in spine fusion surgery, we conducted a population-based analysis utilizing the nationwide claims-based Premier Healthcare database. SUMMARY OF BACKGROUND DATA:Mult...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003320

    authors: Cozowicz C,Bekeris J,Poeran J,Zubizarreta N,Schwenk E,Girardi F,Memtsoudis SG

    更新日期:2020-05-01 00:00:00

  • Infection after spinal fusion for pediatric spinal deformity: thirty years of experience at a single institution.

    abstract:STUDY DESIGN:A retrospective, consecutive case study of 1571 pediatric patients who underwent spinal deformity surgery and had minimum 2-year follow-up. OBJECTIVE:To identify (1) the rate of infection after pediatric spinal deformity surgery; (2) the number of surgeries required to treat a postoperative infection afte...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181c212d1

    authors: Cahill PJ,Warnick DE,Lee MJ,Gaughan J,Vogel LE,Hammerberg KW,Sturm PF

    更新日期:2010-05-20 00:00:00

  • Risk factors for complications associated with growing-rod surgery for early-onset scoliosis.

    abstract:STUDY DESIGN:A retrospective multicenter study. OBJECTIVE:To identify risk factors for postoperative complications associated with growing-rod (GR) surgery for early-onset scoliosis (EOS). SUMMARY OF BACKGROUND DATA:Results and complications of GR surgery for EOS have not been adequately studied. METHODS:We evaluate...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e318288671a

    authors: Watanabe K,Uno K,Suzuki T,Kawakami N,Tsuji T,Yanagida H,Ito M,Hirano T,Yamazaki K,Minami S,Kotani T,Taneichi H,Imagama S,Takeshita K,Yamamoto T,Matsumoto M

    更新日期:2013-04-15 00:00:00

  • Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial.

    abstract:STUDY DESIGN:Randomized controlled trial. OBJECTIVE:To assess whether monitoring increases brace-wearing compliance in patients with adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Noncompliance is a barrier to brace treatment of AIS. Studies have demonstrated that monitoring improves medication com...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e31822f4306

    authors: Miller DJ,Franzone JM,Matsumoto H,Gomez JA,Avendaño J,Hyman JE,Roye DP Jr,Vitale MG

    更新日期:2012-04-20 00:00:00

  • Repair of vertebral artery injury during anterior cervical decompression.

    abstract:METHODS:Vertebral artery injury is a rarely described complication of anterior cervical decompression. The authors performed a retrospective review of their operative database for the purposes of defining the optimal management of this complication and its avoidance. RESULTS:Four of 1,215 (0.3%) patients undergoing an...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199411001-00010

    authors: Golfinos JG,Dickman CA,Zabramski JM,Sonntag VK,Spetzler RF

    更新日期:1994-11-15 00:00:00

  • Flexion failure of posterior cervical lateral mass screws. Influence of insertion technique and position.

    abstract:STUDY DESIGN:The strength of posterior cervical lateral mass fixation was evaluated in a cadaver model for two techniques of screw insertion. OBJECTIVE:To compare the flexion failure strengths of posterior cervical plate fixation for two techniques of screw placement at the superior and inferior screw hole positions, ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199602150-00010

    authors: Choueka J,Spivak JM,Kummer FJ,Steger T

    更新日期:1996-02-15 00:00:00

  • Beliefs and expectations for recovery, coping, and depression in whiplash-associated disorders: lessening the transition to chronicity.

    abstract:STUDY DESIGN:Literature review and discussion. OBJECTIVE:To discuss the role played by beliefs, expectations, coping, and depression in the transition to chronicity in whiplash-associated disorders (WAD), and to discuss their clinical and research implications. SUMMARY OF BACKGROUND DATA:Psychological factors are imp...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e31823881a4

    authors: Carroll LJ

    更新日期:2011-12-01 00:00:00

  • Temporary external transpedicular fixation of the lumbosacral spine: a prospective, longitudinal study in 330 patients.

    abstract:STUDY DESIGN:In this study, 330 patients with incapacitating low back pain underwent temporary external transpedicular fixation (TETF) of the lumbosacral spine in a prospective trial. OBJECTIVE:To evaluate TETF as a test for selecting suitable candidates for segmental spinal fusion. SUMMARY OF BACKGROUND DATA:Few stu...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000190868.57106.4d

    authors: Elmans L,Willems PC,Anderson PG,van Limbeek J,de Kleuver M,van der Schaaf D

    更新日期:2005-12-15 00:00:00