{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:28:59Z","timestamp":1786692539387,"version":"build-2736575974"},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rod fracture is a well-recognized late mechanical complication following long-segment posterior instrumentation in adult spinal deformity. However, rod fracture with distant migration is rare. Here, a 52-year-old female presented 15 years following a T10-sacrum fusion with a subcutaneous gluteal mass representing migration of a fractured rod fragment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>A 52-year-old female had a posterior instrumented fusion from T10-sacrum performed 15 years earlier for thoracolumbar scoliosis. She presented with progressive pain and a palpable mass in the left gluteal region (firm subcutaneous prominence with focal cutaneous ischemic necrosis). X-rays demonstrated a 10-cm detached segment of the left longitudinal rod with caudolateral migration into the gluteal tissue; the prior fusion was intact. The patient fully recovered following fragment removal under local anesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Late rod fracture with distal migration should be considered in the differential diagnosis of soft-tissue masses in patients with prior long-segment spinal instrumentation. Prompt surgical resection should be performed to avoid skin perforation\/infection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/sni_470_2026","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T06:53:30Z","timestamp":1786690410000},"page":"463","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Subcutaneous gluteal migration of hardware after spine fusion: A case report"],"prefix":"10.25259","volume":"17","author":[{"given":"Santiago Jose","family":"Troncoso","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuel","family":"Zaragoza","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Galaretto","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Pablo","family":"Guyot","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Suarez Crespo","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Pablo","family":"Taleb","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrique","family":"Miguens","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lloyd","family":"Ruy","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Austral University Hospital, Pilar, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"10.25259\/SNI_470_2026\/ref-1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.14245\/kjs.2014.11.4.241","article-title":"Migration of rod into retroperitoneal region: A case report and review of the literature","volume":"11","author":"Bayri","year":"2014","journal-title":"Korean J Spine"},{"key":"10.25259\/SNI_470_2026\/ref-2","doi-asserted-by":"crossref","first-page":"2303","DOI":"10.2106\/00004623-200312000-00006","article-title":"Harrington and cotrel-dubousset instrumentation in adolescent idiopathic scoliosis. Long-term functional and radiographic outcomes","volume":"85","author":"Helenius","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"10.25259\/SNI_470_2026\/ref-3","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1016\/j.spinee.2018.02.008","article-title":"Rod fracture in adult spinal deformity surgery fused to the sacrum: prevalence, risk factors, and impact on health-related quality of life in 526 patients","volume":"18","author":"Lertudomphonwanit","year":"2018","journal-title":"Spine J"},{"key":"10.25259\/SNI_470_2026\/ref-4","doi-asserted-by":"crossref","first-page":"E213","DOI":"10.1097\/BRS.0000000000003804","article-title":"Migration of a Lumbar Spinal Fusion rod into the posterolateral knee: A case report","volume":"46","author":"Long","year":"2021","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_470_2026\/ref-5","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.3928\/0147-7447-19881001-12","article-title":"Cotrel-dubousset instrumentation","volume":"11","author":"Shufflebarger","year":"1988","journal-title":"Orthopedics"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/subcutaneous-gluteal-migration-of-hardware-after-spine-fusion-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/subcutaneous-gluteal-migration-of-hardware-after-spine-fusion-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T06:53:31Z","timestamp":1786690411000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/subcutaneous-gluteal-migration-of-hardware-after-spine-fusion-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":5,"alternative-id":["10.25259\/SNI_470_2026"],"URL":"https:\/\/doi.org\/10.25259\/sni_470_2026","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,14]]},"article-number":"463"}}