Distant Harrington rod migration 35 years after implantation.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Lark, RK; Caputo, AM; Brown, CR; Michael, KW; Thacker, JK; Richardson, WJ

Published Date

  • October 2013

Published In

Volume / Issue

  • 20 / 10

Start / End Page

  • 1452 - 1453

PubMed ID

  • 23664127

Pubmed Central ID

  • 23664127

Electronic International Standard Serial Number (EISSN)

  • 1532-2653

Digital Object Identifier (DOI)

  • 10.1016/j.jocn.2012.08.019

Language

  • eng

Conference Location

  • Scotland