Migration of a Lumbar Spinal Fusion Rod Into the Posterolateral Knee: A Case Report.

Abstract:

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.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Long MK,Enders T,Leven D,Cappellino A

doi

10.1097/BRS.0000000000003804

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

E213-E215

issue

3

eissn

0362-2436

issn

1528-1159

pii

00007632-202102010-00021

journal_volume

46

pub_type

杂志文章

相关文献

SPINE文献大全
  • Obesity is associated with reduced disc height in the lumbar spine but not at the lumbosacral junction.

    abstract:STUDY DESIGN:Cross-sectional, community-based study. OBJECTIVE:To investigate the relationships between obesity, disc height, and low back pain in the lumbosacral spine. SUMMARY OF BACKGROUND DATA:Although obesity is a recognized risk factor for low back pain, our understanding of the mechanisms for this is limited. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000411

    authors: Urquhart DM,Kurniadi I,Triangto K,Wang Y,Wluka AE,OʼSullivan R,Jones G,Cicuttini FM

    更新日期:2014-07-15 00:00:00

  • Long-term results from in situ fusion for congenital vertebral deformity.

    abstract:STUDY DESIGN:Retrospective review of long-term outcome of fusion in situ for congenital vertebral anomaly with particular emphasis on cosmesis and the incidence of reoperation. OBJECTIVE:Examination of the success rate of this procedure and of risk factors for failure. BACKGROUND:Fusion in situ is the accepted prophy...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200203150-00011

    authors: Goldberg CJ,Moore DP,Fogarty EE,Dowling FE

    更新日期:2002-03-15 00:00:00

  • Cerebrospinal fluid leak during cervical corpectomy for ossified posterior longitudinal ligament: incidence, management, and outcome.

    abstract:STUDY DESIGN:Retrospective. OBJECTIVE:To study the incidence of intraoperative cerebrospinal fluid (CSF) leak in patients with ossified posterior longitudinal ligament (OPLL) undergoing central cervical corpectomy (CC) and to describe a reliable technique for treating the leak after CC. SUMMARY OF BACKGROUND DATA:The...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318195d245

    authors: Joseph V,Kumar GS,Rajshekhar V

    更新日期:2009-03-01 00:00:00

  • Predominant leg pain is associated with better surgical outcomes in degenerative spondylolisthesis and spinal stenosis: results from the Spine Patient Outcomes Research Trial (SPORT).

    abstract:STUDY DESIGN:As-treated analysis of the Spine Patient Outcomes Research Trial. OBJECTIVE:To compare baseline characteristics and surgical and nonoperative outcomes in degenerative spondylolisthesis (DS) and spinal stenosis (SpS) patients stratified by predominant pain location (i.e., leg vs. back). SUMMARY OF BACKGRO...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e3181d77c21

    authors: Pearson A,Blood E,Lurie J,Abdu W,Sengupta D,Frymoyer JW,Weinstein J

    更新日期:2011-02-01 00:00:00

  • Small intestinal submucosa as a potential bioscaffold for intervertebral disc regeneration.

    abstract:STUDY DESIGN:To evaluate the capacity of porcine small intestine submucosa to support the in vitro proliferation of human disc cells and the synthesis of extracellular matrix that could restore the biochemical properties of the disc. OBJECTIVE:To evaluate if porcine small intestine submucosa is a potential bioactive s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000238684.04792.eb

    authors: Le Visage C,Yang SH,Kadakia L,Sieber AN,Kostuik JP,Leong KW

    更新日期:2006-10-01 00:00:00

  • Natural history and nonoperative treatment of lumbar disc herniation.

    abstract::Lumbar disc herniation is a common condition with a favorable prognosis in the majority of circumstances. This article reviews the published scientific evidence regarding the impact of nonoperative care on this condition. The published studies are critiqued and evaluated on their relative strengths and weaknesses. The...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199612151-00002

    authors: Saal JA

    更新日期:1996-12-15 00:00:00

  • Controlled hypotensive anesthesia during spinal surgery. A retrospective study.

    abstract::A retrospective study has been made of 264 posterior spinal fusions performed between 1972 and 1978 at the Good Samaritan Hospital in Cincinnati. Two hundred ten of the procedures were performed under hypotensive anesthesia. Blood loss and total blood replacement were related to the mean arterial pressure (MAP) during...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198407000-00005

    authors: Lawhon SM,Kahn A 3rd,Crawford AH,Brinker MS

    更新日期:1984-07-01 00:00:00

  • Lumbosacral stability of consolidated anteroposterior fusion after instrumentation removal determined by roentgen stereophotogrammetric analysis and direct surgical exploration.

    abstract:STUDY DESIGN:The intervertebral stability of bony consolidated anteroposterior lumbosacral spondylodesis is evaluated by roentgen stereophotogrammetric analysis and direct surgical exploration before and after removal of the internal fixator. OBJECTIVES:To determine the remaining in vivo stability of spinal arthrodesi...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200202010-00014

    authors: Pape D,Fritsch E,Kelm J,Müller K,Georg T,Kohn D,Adam F

    更新日期:2002-02-01 00:00:00

  • Spinal cord intramedullary pressure. A possible factor in syrinx growth.

    abstract:STUDY DESIGN:This study analyzed biomechanical characteristics of the cervical spinal cord, especially in relation to neck flexion. Intramedullary pressure was measured in different neck positions. OBJECTIVES:The results provided a rationale for dynamic changes in intramedullary pressure, with the flexed neck position...

    journal_title:Spine

    pub_type: 杂志文章

    doi:

    authors: Tachibana S,Kitahara Y,Iida H,Yada K

    更新日期:1994-10-01 00:00:00

  • Effect of number of fusion levels on S1 screws in long fusion construct in a calf spine model.

    abstract:STUDY DESIGN:In vitro biomechanical study evaluating the effect of fusion levels on simulated S1 screws on calf spines. OBJECTIVE:To measure the stresses of simulated S1 screws as a function of increasing fusion levels in long-fusion construct. SUMMARY OF BACKGROUND DATA:Extension of long fusion to sacrum remains a d...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181d99d9b

    authors: Chaudhari R,Zheng X,Wu C,Mehbod AA,Transfeldt EE,Winter RB

    更新日期:2011-04-15 00:00:00

  • Advances in spinal cord regeneration.

    abstract::Spinal cord injury continues to be a major cause of morbidity, particularly among young people involved in vehicle-related trauma, falls, and sports injuries. Although research advances are still a long way from clinical treatments, recent studies on animals have indicated new possibilities for recovery of function. I...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199905010-00019

    authors: Lu J,Waite P

    更新日期:1999-05-01 00:00:00

  • Predictors of bad and good outcome of lumbar spine surgery. A prospective clinical study with 2 years' follow up.

    abstract:STUDY DESIGN:Based on prospective assessment, patients with lumbar disc surgery were examined to determine reliable predictors for clinical outcome. OBJECTIVES:The prognostic value of a screening checklist developed in a previous study was evaluated in a 2-year follow-up. SUMMARY OF BACKGROUND DATA:Outcome studies of...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/00007632-199605010-00013

    authors: Junge A,Fröhlich M,Ahrens S,Hasenbring M,Sandler A,Grob D,Dvorák J

    更新日期:1996-05-01 00:00:00

  • Intradiscal pressure measurements above an instrumented fusion. A cadaveric study.

    abstract:STUDY DESIGN:An in vitro study to determine the intradiscal pressure changes during flexion in levels above a simulated fusion was performed. OBJECTIVES:To determine if intradiscal pressure increases more during flexion in discs above an instrumented spinal segment compared to an uninstrumented segment. SUMMARY OF BA...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199503010-00004

    authors: Weinhoffer SL,Guyer RD,Herbert M,Griffith SL

    更新日期:1995-03-01 00:00:00

  • The Relationship Between Endplate Pathology and Patient-reported Symptoms for Chronic Low Back Pain Depends on Lumbar Paraspinal Muscle Quality.

    abstract:STUDY DESIGN:Cross-sectional cohort study of chronic low back pain (CLBP) patients and matched controls. OBJECTIVE:To explore the interplay between vertebral endplate damage and adjacent paraspinal muscle (PSM) quality, and to test their association in a cohort of patients with CLBP and matched controls. SUMMARY OF B...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003035

    authors: Bailey JF,Fields AJ,Ballatori A,Cohen D,Jain D,Coughlin D,O'Neill C,McCormick Z,Han M,Krug R,Demir-Deviren S,Lotz JC

    更新日期:2019-07-15 00:00:00

  • Tumor necrosis factor-α-dependent infiltration of macrophages into the dorsal root ganglion in a rat disc herniation model.

    abstract:STUDY DESIGN:A prospective molecular mechanism of macrophages infiltration in experimental disc herniation. OBJECTIVE:To investigate the mechanisms of macrophages infiltration into the dorsal root ganglion (DRG) in a rat model of disc herniation. SUMMARY OF BACKGROUND DATA:Macrophages infiltrate the DRG after applica...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3182a84701

    authors: You C,Zhu K,Liu X,Xi C,Zhang Z,Xu G,Yan J

    更新日期:2013-11-01 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

  • Disparities in rates of spine surgery for degenerative spine disease between HIV-infected and uninfected veterans.

    abstract:STUDY DESIGN:Retrospective analysis of nationwide Veterans Health Administration clinical and administrative data. OBJECTIVE:Examine the association between HIV infection and the rate of spine surgery for degenerative spine disease. SUMMARY OF BACKGROUND DATA:Combination antiretroviral therapy has prolonged survival ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318228f32d

    authors: King JT Jr,Gordon AJ,Perkal MF,Crystal S,Rosenthal RA,Rodriguez-Barradas MC,Butt AA,Gibert CL,Rimland D,Simberkoff MS,Justice AC

    更新日期:2012-04-01 00:00:00

  • Microscopic lysis of lumbar adhesive arachnoiditis.

    abstract::The results of a long-term study of 28 patients operated on for adhesive lumbar arachnoiditis are presented. The technique involved was microscopic lysis of adhesions. The first case of surgery was performed in 1966 and the last, in 1970, with followup through 1976. Numerous observations are made regarding the clinica...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-197803000-00008

    authors: Johnston JD,Matheny JB

    更新日期:1978-03-01 00:00:00

  • The impact of cervical pedicle screws for primary stability in multilevel posterior cervical stabilizations.

    abstract:STUDY DESIGN:A total of 12 human cervical spines were tested in vitro in a biomechanical nondestructive set-up to compare the primary stability of different posterior cervical instrumentations after a bilevel corpectomy. OBJECTIVE:To evaluate the primary 3-dimensional stability with special focus on the impact of cerv...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e6bc59

    authors: Schmidt R,Koller H,Wilke HJ,Brade J,Zenner J,Meier O,Ferraris L,Mayer M

    更新日期:2010-10-15 00:00:00

  • Intraoperative Iso-C C-arm navigation in cervical spinal surgery: review of the first 52 cases.

    abstract:STUDY DESIGN:Fifty-two study participants underwent cervical spine surgery using intraoperative Iso-C imaging with or without spinal navigation. OBJECTIVES:To evaluate prospectively the feasibility, advantages, limitations, and applications of Iso-C in cervical spine surgery. SUMMARY OF BACKGROUND DATA:Existing stere...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000147742.20637.49

    authors: Hott JS,Papadopoulos SM,Theodore N,Dickman CA,Sonntag VK

    更新日期:2004-12-15 00:00:00

  • Congenital absence of lumbar facets as a cause of lower-back pain.

    abstract::Unilateral arch hypertrophy secondary to congenital absence of lumbar articular facets is a rare condition of still undetermined etiology. Most symptomatic cases had a history of mild trauma. Radiologic criteria using plain films and CAT scan are available to make the diagnosis of unilateral arch hypertrophy and the s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198601000-00024

    authors: Segal D,Franchi AV

    更新日期:1986-01-01 00:00:00

  • Stretching in the rehabilitation of low-back pain patients.

    abstract::The major objective of this investigation was to study the effectiveness of the physical conditioning program used at the University of Miami Comprehensive Pain and Rehabilitation Center in restoring certain elements of the functional abilities of individuals suffering from chronic low-back pain and to evaluate the ef...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-199203000-00012

    authors: Khalil TM,Asfour SS,Martinez LM,Waly SM,Rosomoff RS,Rosomoff HL

    更新日期:1992-03-01 00:00:00

  • Does Sacral Slanting Affect Distal Adding-on in Lenke Type 1A Adolescent Idiopathic Scoliosis?

    abstract:STUDY DESIGN:A retrospective clinical study. OBJECTIVE:The purpose of this study was to identify risk factors for postoperative distal adding-on in Lenke 1A adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:Distal adding-on is a postoperative complication associated with the Lenke type 1A curve. Although va...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002722

    authors: Joo YS,Hwang CJ,Cho JH,Baik JM,Cho NI,Lee DH,Lee MY,Yoon SJ,Lee CS

    更新日期:2018-09-01 00:00:00

  • Methodological systematic review: mortality in elderly patients with cervical spine injury: a critical appraisal of the reporting of baseline characteristics, follow-up, cause of death, and analysis of risk factors.

    abstract:STUDY DESIGN:Methodologic systematic review. OBJECTIVE:To determine the validity of reported risk factors for mortality in elderly patients with cervical spine injury. SUMMARY OF BACKGROUND DATA:In elderly patients with cervical spine injury, mortality has frequently been associated with the type of treatment. To dat...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181bc9fd2

    authors: van Middendorp JJ,Albert TJ,Veth RP,Hosman AJ

    更新日期:2010-05-01 00:00:00

  • Absence of biglycan accelerates the degenerative process in mouse intervertebral disc.

    abstract:STUDY DESIGN:A study of the histologic changes of the intervertebral discs (IVDs) in biglycan (Bgn)-deficient mice. OBJECTIVE:In this study, we investigate whether the absence of Bgn accelerates the degenerative process in mouse intervertebral disc (IVD). SUMMARY OF BACKGROUND DATA:Proteoglycans and collagen fibrils ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b7c7ec

    authors: Furukawa T,Ito K,Nuka S,Hashimoto J,Takei H,Takahara M,Ogino T,Young MF,Shinomura T

    更新日期:2009-12-01 00:00:00

  • Open reduction of irreducible atlantoaxial dislocation by transoral anterior atlantoaxial release and posterior internal fixation.

    abstract:STUDY DESIGN:A retrospective study of surgical outcome of 33 patients with irreducible atlantoaxial dislocation (IAAD). OBJECTIVE:To evaluate the safety efficacy of one stage anterior release and posterior fixation and fusion to reduce and stabilize IAAD. SUMMARY OF BACKGROUND DATA:The traditional treatment of sympto...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000217686.80327.e4

    authors: Wang C,Yan M,Zhou HT,Wang SL,Dang GT

    更新日期:2006-05-15 00:00:00

  • Spine update: the biopsychosocial model and spine care.

    abstract:STUDY DESIGN:Spine Update on the biopsychosocial model. OBJECTIVE:To review and discuss the strengths and weaknesses of the application of the model to spine care. SUMMARY OF BACKGROUND DATA:The biopsychosocial model of illness has had (and will continue to have) a significant impact on spine care. It has changed-in ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181604572

    authors: Weiner BK

    更新日期:2008-01-15 00:00:00

  • Degenerative spondylolisthesis: review of current trends and controversies.

    abstract:STUDY DESIGN:A literature-based review. OBJECTIVES:To review management and controversies and to present authors recommendations. SUMMARY OF BACKGROUND DATA:There is considerable controversy regarding indication for surgery, role for decompression alone, and decompression with fusion with or without instrumentation. ...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000155579.88537.8e

    authors: Sengupta DK,Herkowitz HN

    更新日期:2005-03-15 00:00:00

  • Bilateral symptomatic synovial cysts of the lumbar spine caused by calcium pyrophosphate deposition disease: a case report.

    abstract:STUDY DESIGN:A case of bilateral symptomatic facet joint synovial cysts arising in association with calcium pyrophosphate deposition disease is reported. OBJECTIVE:To present a previously unreported cause for symptomatic synovial cysts of the lumbar spine. SUMMARY OF BACKGROUND DATA:Synovial cysts of the facet joints...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200210010-00024

    authors: Gadgil AA,Eisenstein SM,Darby A,Cassar Pullicino V

    更新日期:2002-10-01 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