Distant Harrington rod migration 35 years after implantation.

dc.contributor.author

Lark, Robert K

dc.contributor.author

Caputo, Adam M

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Brown, Christopher R

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Michael, Keith W

dc.contributor.author

Thacker, Julie K

dc.contributor.author

Richardson, William J

dc.date.accessioned

2024-08-15T13:07:33Z

dc.date.available

2024-08-15T13:07:33Z

dc.date.issued

2013-10

dc.description.abstract

Harrington rods have been successfully implanted in thousands of patients for the correction of scoliotic deformity since the 1950s. An exceedingly rare complication of Harrington rod placement is loosening with resultant migration. The authors present a 50-year-old woman who had a single Harrington rod placed when she was 15 years old. Thirty-five years later, she presented with acute sensory changes in her lower extremities. Imaging revealed rod failure and migration of the hardware distally, resulting in penetration of the wall of the rectum. Due to the unique anatomical position of the migrated hardware, sigmoidoscopy was used to directly visualize and remove the rod. The patient ultimately made a full recovery. Rod migration is an exceedingly rare complication that has been described only a few times since the introduction of Harrington rods over 60 years ago. The case herein is particularly unique given the extensive period of time that passed before migration (35 years) and the use of sigmoidoscopy for hardware removal.

dc.identifier

S0967-5868(13)00013-1

dc.identifier.issn

0967-5868

dc.identifier.issn

1532-2653

dc.identifier.uri

https://hdl.handle.net/10161/31390

dc.language

eng

dc.publisher

Elsevier BV

dc.relation.ispartof

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

dc.relation.isversionof

10.1016/j.jocn.2012.08.019

dc.rights.uri

https://creativecommons.org/licenses/by-nc/4.0

dc.subject

Humans

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Scoliosis

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Foreign-Body Migration

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Radiography

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Sigmoidoscopy

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Endoscopy

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Spinal Fusion

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Orthopedic Fixation Devices

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Middle Aged

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Female

dc.title

Distant Harrington rod migration 35 years after implantation.

dc.type

Journal article

duke.contributor.orcid

Richardson, William J|0000-0001-9608-199X|0000-0002-8750-7263|0009-0003-7526-7797

pubs.begin-page

1452

pubs.end-page

1453

pubs.issue

10

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Institutes and Centers

pubs.organisational-group

Medicine

pubs.organisational-group

Orthopaedic Surgery

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Pediatrics

pubs.organisational-group

Surgery

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Medicine, Gastroenterology

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Duke Cancer Institute

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University Institutes and Centers

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Duke Global Health Institute

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Neurosurgery

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Surgical Oncology

pubs.publication-status

Published

pubs.volume

20

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