{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:33:00Z","timestamp":1769729580893,"version":"3.49.0"},"reference-count":30,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"23","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,12,2]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Unexpected events such as instrument breakage during a routine lumbar microdiscectomy can pose a risk for nerve root injury, durotomy, infection, and anterior displacement into the retroperitoneal space. Removal of broken instruments requires planning, patience, and sometimes subsequent surgical procedures. Here, the authors explore the effectiveness of a magnetic probe for the retrieval of broken metallic (magnetic) pieces.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 47-year-old man with right leg radiculopathy due to a right L5\u2013S1 disc extrusion had undergone a lumbar microdiscectomy that was complicated by the pituitary rongeur tip breaking in the L5\u2013S1 disc space. The rongeur tip was successfully retrieved by widening the entry access without damaging the adjoining facet and utilizing a blunt nerve hook, a probe dissector, forceps tips, curette heads, and a magnetic probe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>The use of a magnetic probe provides a safe and effective method for retrieving metallic fragments during lumbar disc surgery. This case highlights the importance of considering alternative techniques such as magnetic retrieval in the management of intraoperative instrument breakage.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24377\">https:\/\/thejns.org\/doi\/10.3171\/CASE24377<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24377","type":"journal-article","created":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T01:51:49Z","timestamp":1733104309000},"source":"Crossref","is-referenced-by-count":0,"title":["Successful retrieval of a broken pituitary rongeur tip from the lumbar intervertebral disc space using a magnetic probe: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Luis","family":"Alberto Navarro-Aceves","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Spine Surgery, Puerta de Hierro Andares Hospital, Zapopan, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Alberto Navarro-Orozco","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Spine Surgery, Puerta de Hierro Andares Hospital, Zapopan, Jalisco, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Miguel Rosales-Olivarez","sequence":"additional","affiliation":[{"name":"Spine Surgery Department, Instituto Nacional de Rehabilitaci\u00f3n \u201cLuis Guillermo Ibarra Ibarra,\u201d Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla L.","family":"Garcia Ramos","sequence":"additional","affiliation":[{"name":"Spine Surgery Department, Instituto Nacional de Rehabilitaci\u00f3n \u201cLuis Guillermo Ibarra Ibarra,\u201d Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irving O.","family":"Estevez","sequence":"additional","affiliation":[{"name":"Spine Surgery Department, Instituto Nacional de Rehabilitaci\u00f3n \u201cLuis Guillermo Ibarra Ibarra,\u201d Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bar\u00f3n","family":"Z\u00e1rate-Kalf\u00f3pulos","sequence":"additional","affiliation":[{"name":"Spine Surgery Department, Instituto Nacional de Rehabilitaci\u00f3n \u201cLuis Guillermo Ibarra Ibarra,\u201d Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"3","key":"bib1","series-title":"Int Orthop","first-page":"185","article-title":"The rate of instrument breakage during orthopaedic procedures","volume":"26","author":"Price","year":"2002","unstructured":"Price MVMolloy SSolan MCSutton ARicketts DM. The rate of instrument breakage during orthopaedic procedures. Int Orthop. 2002;26(3):185-187."},{"issue":"12","key":"bib2","series-title":"JBJS Am","first-page":"2652","article-title":"Frequency of instrument breakage during orthopaedic procedures and its effects on patients","volume":"90","author":"Pichler","year":"2008","unstructured":"Pichler WMazzurana PClement HGrechenig SMauschitz RGrechenig W. Frequency of instrument breakage during orthopaedic procedures and its effects on patients. JBJS Am. 2008;90(12):2652-2654."},{"issue":"2","key":"bib3","series-title":"J Bone Joint Surg Am","first-page":"418","article-title":"Complications of lumbar-disc surgery, prevention and treatment. Local complications","volume":"50","author":"Ford","year":"1968","unstructured":"Ford LT. Complications of lumbar-disc surgery, prevention and treatment. Local complications. J Bone Joint Surg Am. 1968;50(2):418-428."},{"issue":"8","key":"bib4","series-title":"Spine (Phila Pa 1976)","first-page":"981","article-title":"Retained broken knife blades within the disc space","volume":"19","author":"Amirjamshidi","year":"1994","unstructured":"Amirjamshidi AMehrazin MAbbassioun KKetabtchi E. Retained broken knife blades within the disc space. Spine (Phila Pa 1976). 1994;19(8):981-984."},{"issue":"4","key":"bib5","series-title":"Neurosurg Focus","first-page":"E6","article-title":"Lumbar microdiscectomy complication rates: a systematic review and meta-analysis","volume":"39","author":"Shriver","year":"2015","unstructured":"Shriver MFXie JJTye EY, et al. Lumbar microdiscectomy complication rates: a systematic review and meta-analysis. Neurosurg Focus. 2015;39(4):E6."},{"key":"bib6","series-title":"Int J Surg Case Rep","first-page":"131","article-title":"Is transforaminal retrieval of intradiscal deeply seated broken surgical knife blade all time pars sparing? A case report","volume":"19","author":"Rahimizadeh","year":"2016","unstructured":"Rahimizadeh AHaddadi K. Is transforaminal retrieval of intradiscal deeply seated broken surgical knife blade all time pars sparing? A case report. Int J Surg Case Rep. 2016;19:131-133."},{"issue":"17","key":"bib7","series-title":"Spine (Phila Pa 1976)","first-page":"E867","article-title":"Surgical mystery: where is the missing pituitary rongeur tip?","volume":"35","author":"Bydon","year":"2010","unstructured":"Bydon AXu RConte JV, et al. Surgical mystery: where is the missing pituitary rongeur tip? Spine (Phila Pa 1976). 2010;35(17):E867-E872."},{"issue":"1","key":"bib8","series-title":"JBJS Case Connect","article-title":"Breakage of a pituitary rongeur tip: an unforeseen complication of lumbar microdiscectomy: a case report and review of literature","volume":"13","author":"Ramachandran","year":"2023","unstructured":"Ramachandran KMeena JAnand KSSVShetty APShanmuganathan R. Breakage of a pituitary rongeur tip: an unforeseen complication of lumbar microdiscectomy: a case report and review of literature. JBJS Case Connect. 2023;13(1):e22.00556."},{"issue":"20","key":"bib9","series-title":"Spine (Phila Pa 1976)","first-page":"E1278","article-title":"Transforaminal retrieval of intradiscal retained broken surgical knife blade","volume":"38","author":"Rahimizadeh","year":"2013","unstructured":"Rahimizadeh AGhorbani ERahimizadeh S. Transforaminal retrieval of intradiscal retained broken surgical knife blade. Spine (Phila Pa 1976). 2013;38(20):E1278-E1281."},{"issue":"4","key":"bib10","series-title":"Clin Imaging","first-page":"269","article-title":"Foreign body granuloma simulating solid neoplasm on MR","volume":"21","author":"Karcnik","year":"1997","unstructured":"Karcnik TJNazarian LNRao VMGibbons GE. Foreign body granuloma simulating solid neoplasm on MR. Clin Imaging. 1997;21(4):269-272."},{"issue":"1","key":"bib11","series-title":"Case Rep Surg","first-page":"8609246","article-title":"Robot-assisted removal of a broken scalpel blade following discectomy","volume":"2019","author":"Koutserimpas","year":"2019","unstructured":"Koutserimpas CIoannidis AKonstantinidis MAthanasopoulos PAntonakopoulos FKonstantinidis K. Robot-assisted removal of a broken scalpel blade following discectomy. Case Rep Surg. 2019;2019(1):8609246."},{"key":"bib12","series-title":"World Neurosurg","first-page":"272","article-title":"Removal of the deeply located intradiskal broken knife blade with arthroscopic assistance: case report and literature review","volume":"137","author":"Zheng","year":"2020","unstructured":"Zheng GBWang Z. Removal of the deeply located intradiskal broken knife blade with arthroscopic assistance: case report and literature review. World Neurosurg. 2020;137:272-275."},{"issue":"6","key":"bib13","series-title":"Cureus","first-page":"e8561","article-title":"Stepwise retrieval of a broken pituitary disc rongeur","volume":"12","author":"Menger","year":"2020","unstructured":"Menger RPLazzari ZNanda A. Stepwise retrieval of a broken pituitary disc rongeur. Cureus. 2020;12(6):e8561."},{"issue":"1","key":"bib14","series-title":"Surg Endosc","first-page":"208","article-title":"A magnetic probe to retrieve broken metallic parts of instruments during laparoscopic procedures","volume":"16","author":"Kandioler-Eckersberger","year":"2002","unstructured":"Kandioler-Eckersberger DNiederle BHerbst FWenzl E. A magnetic probe to retrieve broken metallic parts of instruments during laparoscopic procedures. Surg Endosc. 2002;16(1):208-209."},{"issue":"4","key":"bib15","series-title":"Bioengineering (Basel)","first-page":"442","article-title":"The evolving use of magnets in surgery: biomedical considerations and a review of their current applications","volume":"10","author":"Lee","year":"2023","unstructured":"Lee WGEvans LLJohnson SMWoo RK. The evolving use of magnets in surgery: biomedical considerations and a review of their current applications. Bioengineering (Basel). 2023;10(4):442"},{"issue":"3","key":"bib1","series-title":"Int Orthop","first-page":"185","article-title":"The rate of instrument breakage during orthopaedic procedures","volume":"26","author":"Price","year":"2002","unstructured":"Price MVMolloy SSolan MCSutton ARicketts DM. The rate of instrument breakage during orthopaedic procedures. Int Orthop. 2002;26(3):185-187."},{"issue":"12","key":"bib2","series-title":"JBJS Am","first-page":"2652","article-title":"Frequency of instrument breakage during orthopaedic procedures and its effects on patients","volume":"90","author":"Pichler","year":"2008","unstructured":"Pichler WMazzurana PClement HGrechenig SMauschitz RGrechenig W. Frequency of instrument breakage during orthopaedic procedures and its effects on patients. JBJS Am. 2008;90(12):2652-2654."},{"issue":"2","key":"bib3","series-title":"J Bone Joint Surg Am","first-page":"418","article-title":"Complications of lumbar-disc surgery, prevention and treatment. Local complications","volume":"50","author":"Ford","year":"1968","unstructured":"Ford LT. Complications of lumbar-disc surgery, prevention and treatment. Local complications. J Bone Joint Surg Am. 1968;50(2):418-428."},{"issue":"8","key":"bib4","series-title":"Spine (Phila Pa 1976)","first-page":"981","article-title":"Retained broken knife blades within the disc space","volume":"19","author":"Amirjamshidi","year":"1994","unstructured":"Amirjamshidi AMehrazin MAbbassioun KKetabtchi E. Retained broken knife blades within the disc space. Spine (Phila Pa 1976). 1994;19(8):981-984."},{"issue":"4","key":"bib5","series-title":"Neurosurg Focus","first-page":"E6","article-title":"Lumbar microdiscectomy complication rates: a systematic review and meta-analysis","volume":"39","author":"Shriver","year":"2015","unstructured":"Shriver MFXie JJTye EY, et al. Lumbar microdiscectomy complication rates: a systematic review and meta-analysis. Neurosurg Focus. 2015;39(4):E6."},{"key":"bib6","series-title":"Int J Surg Case Rep","first-page":"131","article-title":"Is transforaminal retrieval of intradiscal deeply seated broken surgical knife blade all time pars sparing? A case report","volume":"19","author":"Rahimizadeh","year":"2016","unstructured":"Rahimizadeh AHaddadi K. Is transforaminal retrieval of intradiscal deeply seated broken surgical knife blade all time pars sparing? A case report. Int J Surg Case Rep. 2016;19:131-133."},{"issue":"17","key":"bib7","series-title":"Spine (Phila Pa 1976)","first-page":"E867","article-title":"Surgical mystery: where is the missing pituitary rongeur tip?","volume":"35","author":"Bydon","year":"2010","unstructured":"Bydon AXu RConte JV, et al. Surgical mystery: where is the missing pituitary rongeur tip? Spine (Phila Pa 1976). 2010;35(17):E867-E872."},{"issue":"1","key":"bib8","series-title":"JBJS Case Connect","article-title":"Breakage of a pituitary rongeur tip: an unforeseen complication of lumbar microdiscectomy: a case report and review of literature","volume":"13","author":"Ramachandran","year":"2023","unstructured":"Ramachandran KMeena JAnand KSSVShetty APShanmuganathan R. Breakage of a pituitary rongeur tip: an unforeseen complication of lumbar microdiscectomy: a case report and review of literature. JBJS Case Connect. 2023;13(1):e22.00556."},{"issue":"20","key":"bib9","series-title":"Spine (Phila Pa 1976)","first-page":"E1278","article-title":"Transforaminal retrieval of intradiscal retained broken surgical knife blade","volume":"38","author":"Rahimizadeh","year":"2013","unstructured":"Rahimizadeh AGhorbani ERahimizadeh S. Transforaminal retrieval of intradiscal retained broken surgical knife blade. Spine (Phila Pa 1976). 2013;38(20):E1278-E1281."},{"issue":"4","key":"bib10","series-title":"Clin Imaging","first-page":"269","article-title":"Foreign body granuloma simulating solid neoplasm on MR","volume":"21","author":"Karcnik","year":"1997","unstructured":"Karcnik TJNazarian LNRao VMGibbons GE. Foreign body granuloma simulating solid neoplasm on MR. Clin Imaging. 1997;21(4):269-272."},{"issue":"1","key":"bib11","series-title":"Case Rep Surg","first-page":"8609246","article-title":"Robot-assisted removal of a broken scalpel blade following discectomy","volume":"2019","author":"Koutserimpas","year":"2019","unstructured":"Koutserimpas CIoannidis AKonstantinidis MAthanasopoulos PAntonakopoulos FKonstantinidis K. Robot-assisted removal of a broken scalpel blade following discectomy. Case Rep Surg. 2019;2019(1):8609246."},{"key":"bib12","series-title":"World Neurosurg","first-page":"272","article-title":"Removal of the deeply located intradiskal broken knife blade with arthroscopic assistance: case report and literature review","volume":"137","author":"Zheng","year":"2020","unstructured":"Zheng GBWang Z. Removal of the deeply located intradiskal broken knife blade with arthroscopic assistance: case report and literature review. World Neurosurg. 2020;137:272-275."},{"issue":"6","key":"bib13","series-title":"Cureus","first-page":"e8561","article-title":"Stepwise retrieval of a broken pituitary disc rongeur","volume":"12","author":"Menger","year":"2020","unstructured":"Menger RPLazzari ZNanda A. Stepwise retrieval of a broken pituitary disc rongeur. Cureus. 2020;12(6):e8561."},{"issue":"1","key":"bib14","series-title":"Surg Endosc","first-page":"208","article-title":"A magnetic probe to retrieve broken metallic parts of instruments during laparoscopic procedures","volume":"16","author":"Kandioler-Eckersberger","year":"2002","unstructured":"Kandioler-Eckersberger DNiederle BHerbst FWenzl E. A magnetic probe to retrieve broken metallic parts of instruments during laparoscopic procedures. Surg Endosc. 2002;16(1):208-209."},{"issue":"4","key":"bib15","series-title":"Bioengineering (Basel)","first-page":"442","article-title":"The evolving use of magnets in surgery: biomedical considerations and a review of their current applications","volume":"10","author":"Lee","year":"2023","unstructured":"Lee WGEvans LLJohnson SMWoo RK. The evolving use of magnets in surgery: biomedical considerations and a review of their current applications. Bioengineering (Basel). 2023;10(4):442"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/23\/article-CASE24377.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/23\/article-CASE24377.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/23\/article-CASE24377.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:56:29Z","timestamp":1769687789000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/23\/article-CASE24377.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,2]]},"references-count":30,"journal-issue":{"issue":"23"},"URL":"https:\/\/doi.org\/10.3171\/case24377","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,2]]}}}