Migration of posterior spinal rod to the medial aspect of the thigh: An unusual case report and literature review

Background: The literature encompasses diverse cases of spinal rod migration, ranging from bilateral rod fractures in adult idiopathic scoliosis to anterior and posterior migrations into unexpected anatomical sites. Cases discuss complications, such as gastrointestinal bleeding and acetabular migrat...

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Main Authors: Asif Ali, Badar Uddin Sahito, Shayan Ali Irfan, Jagdesh Kumar, Huzaifa Soomro
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Orthopaedic Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X24000237
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author Asif Ali
Badar Uddin Sahito
Shayan Ali Irfan
Jagdesh Kumar
Huzaifa Soomro
author_facet Asif Ali
Badar Uddin Sahito
Shayan Ali Irfan
Jagdesh Kumar
Huzaifa Soomro
author_sort Asif Ali
collection DOAJ
description Background: The literature encompasses diverse cases of spinal rod migration, ranging from bilateral rod fractures in adult idiopathic scoliosis to anterior and posterior migrations into unexpected anatomical sites. Cases discuss complications, such as gastrointestinal bleeding and acetabular migration, emphasizing the importance of long-term follow-up and vigilant postoperative monitoring. Our study aims to present a unique case report of interbody fusion rod migration following posterior spinal fusion and provide a comprehensive literature review on spinal rod migration cases reported in the medical literature. Case report: A 27-year-old female, who underwent posterior spinal fusion five years ago for a lumbar fracture, presented with pain and swelling in the right thigh. Clinical examination revealed tenderness and a palpable rod in the medial aspect of the distal thigh. Radiographic assessment confirmed rod migration, prompting surgical removal. The case highlights the rarity of complications related to spinal instrumentation. Conclusion: This study underscores the significance of understanding and addressing complications associated with spinal instrumentation. The presented case, in conjunction with the literature review, contributes valuable insights for clinicians, emphasizing the need for meticulous surgical planning, ongoing research, and heightened awareness to optimize patient outcomes and prevent complications in spinal surgery.
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spelling doaj.art-0c3af2682a0748ee9b409361cc0a90812024-03-26T04:27:51ZengElsevierJournal of Orthopaedic Reports2773-157X2024-12-0134100328Migration of posterior spinal rod to the medial aspect of the thigh: An unusual case report and literature reviewAsif Ali0Badar Uddin Sahito1Shayan Ali Irfan2Jagdesh Kumar3Huzaifa Soomro4Orthopedic Department, Dow University of Health Sciences, Karachi, PakistanOrthopedic Department, Dow University of Health Sciences, Karachi, PakistanCorresponding author. Dow University of Health Sciences, Baba-E-Urdu Road; Karachi, 74200, Pakistan.; Orthopedic Department, Dow University of Health Sciences, Karachi, PakistanOrthopedic Department, Dow University of Health Sciences, Karachi, PakistanOrthopedic Department, Dow University of Health Sciences, Karachi, PakistanBackground: The literature encompasses diverse cases of spinal rod migration, ranging from bilateral rod fractures in adult idiopathic scoliosis to anterior and posterior migrations into unexpected anatomical sites. Cases discuss complications, such as gastrointestinal bleeding and acetabular migration, emphasizing the importance of long-term follow-up and vigilant postoperative monitoring. Our study aims to present a unique case report of interbody fusion rod migration following posterior spinal fusion and provide a comprehensive literature review on spinal rod migration cases reported in the medical literature. Case report: A 27-year-old female, who underwent posterior spinal fusion five years ago for a lumbar fracture, presented with pain and swelling in the right thigh. Clinical examination revealed tenderness and a palpable rod in the medial aspect of the distal thigh. Radiographic assessment confirmed rod migration, prompting surgical removal. The case highlights the rarity of complications related to spinal instrumentation. Conclusion: This study underscores the significance of understanding and addressing complications associated with spinal instrumentation. The presented case, in conjunction with the literature review, contributes valuable insights for clinicians, emphasizing the need for meticulous surgical planning, ongoing research, and heightened awareness to optimize patient outcomes and prevent complications in spinal surgery.http://www.sciencedirect.com/science/article/pii/S2773157X24000237
spellingShingle Asif Ali
Badar Uddin Sahito
Shayan Ali Irfan
Jagdesh Kumar
Huzaifa Soomro
Migration of posterior spinal rod to the medial aspect of the thigh: An unusual case report and literature review
Journal of Orthopaedic Reports
title Migration of posterior spinal rod to the medial aspect of the thigh: An unusual case report and literature review
title_full Migration of posterior spinal rod to the medial aspect of the thigh: An unusual case report and literature review
title_fullStr Migration of posterior spinal rod to the medial aspect of the thigh: An unusual case report and literature review
title_full_unstemmed Migration of posterior spinal rod to the medial aspect of the thigh: An unusual case report and literature review
title_short Migration of posterior spinal rod to the medial aspect of the thigh: An unusual case report and literature review
title_sort migration of posterior spinal rod to the medial aspect of the thigh an unusual case report and literature review
url http://www.sciencedirect.com/science/article/pii/S2773157X24000237
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AT shayanaliirfan migrationofposteriorspinalrodtothemedialaspectofthethighanunusualcasereportandliteraturereview
AT jagdeshkumar migrationofposteriorspinalrodtothemedialaspectofthethighanunusualcasereportandliteraturereview
AT huzaifasoomro migrationofposteriorspinalrodtothemedialaspectofthethighanunusualcasereportandliteraturereview