title: Spinal cord compression caused by the rod of a Harrington instrumentation device: a late complication in scoliosis surgery.
abstract: We report a unique complication caused by the rod of a Harrington instrumentation device, which resulted in spinal stenosis and myelopathy. A literature review revealed no previous causes of direct spinal cord impingement caused by the rod of a Harrington device. In this case, years after the initial operation, the rod penetrated the lamina at the junction between a thoracic and a lumbar curve, causing spinal stenosis and myelopathy. We conclude that regular control of the position of the device and awareness of possible late neurological complications are necessary to identify such complications as early as possible.
authors.affiliation: Orthopaedic Department, Ludwig Maximilians University Munich, Klinikum Grosshadem, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Krödel
authors.forename: J C
authors.initials: JC
authors.lastname: Rehmet
authors.forename: C
authors.initials: C
authors.lastname: Hamburger
mesh_terms: D005260:Female; D006801:Humans; D007738:Kyphosis / Q000601:surgery; D008159:Lumbar Vertebrae / Q000601:surgery; D008875:Middle Aged; D009984:Orthopedic Fixation Devices / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D012600:Scoliosis / Q000601:surgery*; D013117:Spinal Cord Compression / Q000209:etiology*; D013123:Spinal Fusion / Q000295:instrumentation*; D013904:Thoracic Vertebrae / Q000601:surgery; D013997:Time Factors