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Delayed intracranial migration of cervical sublaminar and interspinous wires and subsequent cerebellar abscess. Case report.
- Source :
-
Journal of neurosurgery [J Neurosurg] 2002 Jul; Vol. 97 (1 Suppl), pp. 113-7. - Publication Year :
- 2002
-
Abstract
- Delayed complications associated with sublaminar and interspinous wiring in the pediatric cervical spine are rare. The authors present a case of delayed complication in which a cervical fusion wire migrated into the cerebellum, causing subsequent cerebellar abscess 2 years after posterior cervical arthrodesis. A craniotomy was required to remove the wire and drain the abscess. Despite their history of safety and successful fusion, procedures involving sublaminar and interspinous wiring carry a risk of neurological injury secondary to wire migration. A thorough neuroimaging evaluation is required in patients who have undergone fusion and who have neurological complaints to detect late instrumentation-related sequelae.
- Subjects :
- Adolescent
Anti-Bacterial Agents therapeutic use
Brain Abscess diagnosis
Brain Abscess drug therapy
Brain Abscess surgery
Cerebellar Diseases diagnosis
Cerebellar Diseases drug therapy
Cerebellar Diseases surgery
Cervical Vertebrae diagnostic imaging
Foreign-Body Migration diagnosis
Foreign-Body Migration etiology
Foreign-Body Migration surgery
Humans
Magnetic Resonance Imaging
Male
Nafcillin therapeutic use
Penicillins therapeutic use
Reoperation
Rifampin therapeutic use
Spinal Fusion instrumentation
Staphylococcal Infections diagnosis
Staphylococcal Infections drug therapy
Staphylococcal Infections surgery
Tomography, X-Ray Computed
Bone Wires adverse effects
Brain Abscess etiology
Cerebellar Diseases etiology
Cervical Vertebrae surgery
Foreign-Body Migration complications
Spinal Fusion adverse effects
Staphylococcal Infections etiology
Subjects
Details
- Language :
- English
- ISSN :
- 0022-3085
- Volume :
- 97
- Issue :
- 1 Suppl
- Database :
- MEDLINE
- Journal :
- Journal of neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 12120633
- Full Text :
- https://doi.org/10.3171/spi.2002.97.1.0113