{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T06:21:22Z","timestamp":1780726882863,"version":"3.54.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,3,30]],"date-time":"2017-03-30T00:00:00Z","timestamp":1490832000000},"content-version":"vor","delay-in-days":57,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:p>Posterior instrumented fusion of the cervical spine is a common surgical procedure in the treatment of cervical subluxation, fractures, and stenosis. Although malpositions are commonly seen, it is rare to observe the malposition of the rod or interconnection because of hardware failure. A 62\u2010year\u2010old woman with spastic tetraparesis as a sequel to pediatric meningitis with C<jats:sub>1<\/jats:sub>\u2013C<jats:sub>2<\/jats:sub> cervical subluxation and myelomalacia had undergone laminectomy of C<jats:sub>1<\/jats:sub> and C<jats:sub>1<\/jats:sub> lateral mass and C<jats:sub>2<\/jats:sub> bilateral pedicular screw fixation. Three years after the stabilization, she presented with complaints of headache, neck pain, and difficulty walking. There was no history of trauma during that period. A previously unrecorded and unusual migration of a rod through the thoracic subarachnoid space was detected. In this study, we report a case of atlantoaxial stabilization using the screw\u2010rod technique that was followed by rod migration to the thoracic subarachnoid space, and outline the subsequent management of the case. Failure of bony fusion can result in micromotion and subsequent migration of fixation device components. Routine radiographic follow\u2010up could be used to identify migration events.<\/jats:p>","DOI":"10.1111\/os.12317","type":"journal-article","created":{"date-parts":[[2017,3,30]],"date-time":"2017-03-30T22:57:41Z","timestamp":1490914661000},"page":"129-132","source":"Crossref","is-referenced-by-count":6,"title":["Rod Migration to the Thoracic Subarachnoid Space after C<sub>1\u20132<\/sub> Instrumentation: A Case Report and Literature Review"],"prefix":"10.1111","volume":"9","author":[{"given":"Seref","family":"Dogan","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Uludag University Medical School  Bursa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif Basaran","family":"Gundogdu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Uludag University Medical School  Bursa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mevl\u00fct \u00d6zg\u00fcr","family":"Ta\u015fkap\u0131l\u0131o\u011flu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Uludag University Medical School  Bursa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Karaoglu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Uludag University Medical School  Bursa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,30]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1989.70.6.0893"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/spi.1999.90.1.0019"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.3171\/2013.8.SPINE13136"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199801150-00009"},{"key":"e_1_2_5_6_1","first-page":"57","volume-title":"Recent Advances in Orthopedics","author":"Roy\u2010Camille R","year":"1979"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198910000-00016"},{"key":"e_1_2_5_8_1","first-page":"390","volume-title":"The Cervical Spine","author":"Roy\u2010Camille R","year":"1989"},{"key":"e_1_2_5_9_1","first-page":"489","article-title":"Lateral mass screw\u2010rod fixation of the cervical spine: a prospective clinical series with 1\u2010year follow\u2010up","volume":"3","author":"Deen HG","year":"2003","journal-title":"Spine J"},{"key":"e_1_2_5_10_1","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1227\/01.NEU.0000245592.54204.D0","article-title":"Early complications of posterior rod\u2010screw fixation of the cervical and upper thoracic spine","volume":"59","author":"Deen HG","year":"2006","journal-title":"Neurosurgery"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2012.03.013"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181ba03b3"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fos.12317","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.12317","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T21:22:56Z","timestamp":1696195376000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.12317"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["10.1111\/os.12317"],"URL":"https:\/\/doi.org\/10.1111\/os.12317","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2]]}}}