Dislodgement of a Screw to the Bronchial Tree （移动螺杆的支气管树）.pdf

Journal of Orthopaedics, Trauma and Rehabilitation 17 (2013) 106 e108 Contents lists available at SciVerse ScienceDirect Journal of Orthopaedics, Trauma and Rehabilitation Journal homepages: Case Report Dislodgement of a Screw to the Bronchial Tree After Anterior Cervical Plating Surgery 前頸椎鋼板 固定術後螺絲移位至支氣管 * Wu Tsz-Kit , Chung On-Ming Department of Orthopaedics and Traumatology, Princess Margaret Hospital, Hong Kong Special Administrative Region, China a r t i c l e i n f o a b s t r a c t Article history: Anterior cervical plating is a common procedure that is performed after decompression and recon- Accepted December 2011 struction in cervical spine surgery. Screw dislodgement is a rare but potential complication of cervical plating. The common site of screw migration is within the gastrointestinal tract. Our patient is the first Keywords: reported case of cervical screw dislodgement to the bronchial tree. It presented ten months after the anterior cervical plating patient had undergone placement of an anterior cervical locking plate. The dislodgement was confirmed bronchial tree by X-ray imaging, computed tomography (CT) scan, and bronchoscopy. Spine surgeons should be aware screw dislodgement of this type of complication in case of screw loosening. Early intervention with implant removal should be considered. 中 文 摘 要