Protruded Rode Post Posterior Spinal Fusion in Scoliosis Patient – Case Report

Abstract

Scoliosis is defined as coronal plane spinal deformity. It is known as the lateral angulation of the vertebra more than 10 degrees which most commonly presents in adolescent girls from age 10 to 18. Scoliosis is divided into two groups which are congenital and idiopathic Scoliosis. We present a case of 18 years old male patient known as mental delayed and cleft palate, complaining of protruded Hardware for three years as post-T4 to L2 Posterior Spinal Fusion who diagnosed as a neuromuscular Scoliosis. The patient lost to follow-up since staples removal and came to the clinic after three years as transferred from primary health care. Upon physical examination, intact motor and sensory exam and normal reflexes, no signs of infection. A serial radiological investigation was ordered, and blood work was done as well. Irrigation and, debridement and hardware removal were performed, the four left proximal pedicle screws were removed. The proximal cutting part of the left rod. Deep tissue culture from different sites was taken for culture and sensitivity, which was positive for staphylococcus Aureus. The patient was kept in the hospital for intravenous antibiotics and seen in the clinic for follow-up. This case report suggests noncompliance can affect the outcome and lead to severe complications. We present a case of protruded rode post scoliosis correction in which underwent removal of loose left four pedicle screws and proximal rode.