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Screw migration and oesophageal perforation after surgical procedure for osteosarcoma of the cervical backbone.

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Screw migration and oesophageal perforation after surgical procedure for osteosarcoma of the cervical backbone.

BMC Musculoskelet Disord. 2017 Dec 29;18(1):552

Authors: Denaro L, Longo UG, Di Martino AC, Maffulli N, Denaro V

Summary
BACKGROUND: Regardless that inside fixation has expanded the indications for cervical backbone surgical procedure, it carries the dangers of fracture or migration, with related potential life threatening problems. Removing of steel work from the cervical backbone is required in case of failure of inside fixation, however it may well turn out to be difficult, particularly when a large amount of scar tissue is current due to earlier surgical procedure and radiotherapy.
CASE PRESENTATION: We report a 16 yr outdated aggressive basketball athlete who underwent a mixed anterior and posterior method for resection of an osteosarcoma of the sixth cervical vertebra. Fourteen years after the index process, the affected person eradicated spontaneously one screw by means of the intestinal tract by way of an oesophageal perforation and developed a extreme dysphagia. Three revision surgical procedures have been carried out to take away the anterior plate due to the nice quantity of post-surgery and post-irradiation fibrosis.
CONCLUSIONS: Screw migration and oesophageal perforation after cervical backbone surgical procedure are unusual doubtlessly life-threatening occurrences. Revision surgical procedure could also be difficult and it requires particular expertise.

PMID: 29284452 [PubMed – in process]

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