Delayed intracranial migration of cervical sublaminar and interspinous wires and subsequent cerebellar abscess. Case report

J Neurosurg. 2002 Jul;97(1 Suppl):113-7. doi: 10.3171/spi.2002.97.1.0113.

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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anti-Bacterial Agents / therapeutic use
  • Bone Wires / adverse effects*
  • Brain Abscess / diagnosis
  • Brain Abscess / drug therapy
  • Brain Abscess / etiology*
  • Brain Abscess / surgery
  • Cerebellar Diseases / diagnosis
  • Cerebellar Diseases / drug therapy
  • Cerebellar Diseases / etiology*
  • Cerebellar Diseases / surgery
  • Cervical Vertebrae / diagnostic imaging
  • Cervical Vertebrae / surgery*
  • Foreign-Body Migration / complications*
  • 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 / adverse effects*
  • Spinal Fusion / instrumentation
  • Staphylococcal Infections / diagnosis
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / etiology*
  • Staphylococcal Infections / surgery
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Penicillins
  • Nafcillin
  • Rifampin