Abstract
Adolescent idiopathic scoliosis may require surgical treatment for extreme curvature of the spine or loss of pulmonary function. We present a report of a 31-year-old woman with a history of scoliosis and anterolateral spinal fusion who developed chest pain and hemoptysis. Imaging revealed that a fixation rod had migrated cephalad, penetrating the diaphragm into the left lower lobe of the lung. The hardware was removed and lung repaired with good results. This is the first reported case of cranial spinal rod migration over a decade after initial implantation.
References
Choudhry MN, Ahmad Z, Verma R (2016) Adolescent idiopathic scoliosis. Open Orthopaed J 10:143–154
Weiss HR, Goodall D (2008) Rate of complications in scoliosis surgery: a systematic review of the Pub Med literature. Scoliosis 3:9
Alsharief AN, El-Hawary R, Schmit P (2018) Pediatric spine imaging post scoliosis surgery. Pediatr Radiol 48(1):124–140
Dwyer AF, Schafer MF (1974) Anterior approach to scoliosis. Results of treatment in fifty-one cases. J Bone Joint Surg Br 56(2):218–224
Bridwell KH (1999) Surgical treatment of idiopathic adolescent scoliosis. Spine 24(24):2607–2616
Riouallon G, Bouyer B, Wolff S (2016) Risk of revision surgery for adult idiopathic scoliosis: a survival analysis of 517 cases over 25 years. European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical. Spine Res Soc 25(8):2527–2534
Gaston CW, Danilo TZ, Guido C, Jorge B, Carlos S (2015) Migration of the anterior spinal rod to the right thigh, a rare complication of anterior spinal instrumentations: a case report and a literature review. Case Rep Orthop 2015:532412
Lark RK, Caputo AM, Brown CR, Michael KW, Thacker JK, Richardson WJ (2013) Distant Harrington rod migration 35 years after implantation. J Clin Neurosci 20(10):1452–1453
Davoodabadi A, Fakharian E, Mohammadzadeh M, Abdorrahim Kashi E, Mirzadeh AS (2012) Blunt traumatic hernia of diaphragm with late presentation. Arch Trauma Res 1(3):89–92
Hanna WC, Ferri LE (2009) Acute traumatic diaphragmatic injury. Thorac Surg Clin 19(4):485–489
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Song, K.J., Colman, M., Myers, J.A. et al. Transdiaphragmatic Migration of a Spinal Fixation Rod into the Lung. Lung 196, 369–371 (2018). https://doi.org/10.1007/s00408-018-0104-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00408-018-0104-z