Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz

Logo MUG-Forschungsportal

Gewählte Publikation:

SHR Neuro Krebs Kardio Lipid

Leitner, L; Brückmann, CI; Gilg, MM; Bratschitsch, G; Sadoghi, P; Leithner, A; Radl, R.
Passage of an Anterior Odontoid Screw through Gastrointestinal Tract.
Case Rep Med. 2017; 2017(9):2923696-2923696 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG


Autor/innen der Med Uni Graz:
Bratschitsch Gerhard
Gilg Magdalena Maria
Leithner Andreas
Leitner Lukas
Radl Roman
Sadoghi Patrick

Dimensions Citations:

Plum Analytics:
Number of Figures: 3
| | |
Purpose. Anterior screw fixation has become a popular surgical treatment method for instable odontoid fractures. Screw loosening and migration are a rare, severe complication following anterior odontoid fixation, which can lead to esophagus perforation and requires revision operation. Methods. We report a case of screw loosening and migration after anterior odontoid fixation, which perforated the esophagus and was excreted without complications in a 78-year-old male patient. Results. A ventral dislocated anterior screw perforated through the esophagus after eight years after implantation and was excreted through the gastrointestinal (GI) tract. At a 6-month follow-up after the event the patient was asymptomatic. Conclusion. Extrusion via the GI tract is not safe enough to be considered as a treatment option for loosened screws. Some improvements could be implemented to prevent such an incident. Furthermore, this case is a fine example that recent preoperative imaging is mandatory before revision surgery for screw loosening.

© Meduni Graz Impressum