Vertebral canal location of a broken drill bit

S. Etchepareborde; J. Mills

doi:10.3415/VCOT-07-03-0023

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2008; 21(01): 94-97
DOI: 10.3415/VCOT-07-03-0023

Case Report

Schattauer GmbH

Vertebral canal location of a broken drill bit

S. Etchepareborde

¹Scarsdale Veterinary Hospital, Derby, UK

,

J. Mills

¹Scarsdale Veterinary Hospital, Derby, UK

› Author Affiliations

Abstract

Summary

A 2 mm drill broke during plate fixation of an ilial fracture. Postoperative radiographs showed the tip of the drill bit to be within the L7 vertebral canal. It was retrieved 10 days later via dorsal laminectomy, immediately restoring weight bearing.

Keywords

Ilial fracture - drill bit breakage - vertebral canal foreign body - dorsal laminectomy

Full Text

References

References
1 Tomlinson J. Fractures of the pelvis. In: Small Animal Surgery. Slatter D. (ed). Philadelphia: Saunders; 2003: 1989-2001.
2 Hirt U, Auer JA, Perren SM. Drill bit failure without implant involvement – an intraoperative complication in orthopaedic surgery. Injury 1992; 23 (Suppl. 02) S5-S16.
3 Avci SB, Acikgoz B, Gundogdu S. Delayedneurological symptoms from the spontaneous migration of a bullet in the lumbosacral spinal canal. Case report. Paraplegia 1995; 33: 541-542.
4 Kuijlen JM, Herpers MJ, Beuls EA. Neurogenic claudication, a delayed complication in a retained bullet. Spine 1997; 22: 910-914.
5 Jeffery Jeffery, Borgstein R. Case report of a retained bullet in the lumbar spine with preservation of cauda equina function. Injury 1998; 29: 724-726.
6 Yasui Yasui. et al. Migration of intracranial hemostatic clip into the lumbar spinal canal causing sacral radiculopathy: a case report. Spine 2003; 28: E511-514.
7 KarimNO etal. Spontaneousmigrationofabullet in the spinal subarachnoid space causing delayed radicular symptoms. Neurosurgery 1986; 18: 97-100.
8 Ilkko Ilkko. et al. Spontaneous migration of foreign bodies in the central nervous system. Clin Radiol 1998; 53: 221-225.
9 Sorensen Sorensen, Kraus J. Movement of hemostatic clips from the ventricles through the aqueduct to the lumbar spinal canal. Case report. Neurosur- gery 1991; 74: 143-146.
10 Tanguy Tanguy. et al. Intraspinal migration of a bullet with subsequent meningitis. J Bone Joint Surg 1982; 64A: 1244-1245.
11 Oktem Oktem. et al. Migration of bullet in the spinal canal: a case report. Surg Neurol 1995; 44: 548-550.
12 Waters RL, Adkins RH. et al. The effects of removal of bullet fragments retained in the spinal canal. A collaborative study by the National Spinal Cord Injury Model Systems. Spine 1991; 16: 934-939.
13 Robertson Robertson, Simpson R. Penetrating Injuries to the cauda equina: A retrospective review. Neurosurgery 31: 265-269.
14 Cybulski GR, Stone JL, Kant R. Outcome of laminectomy for civilian gunshot injuries of the ter minal spinal cord and cauda equina: review of88 cases. Neurosurgery 1989; 24: 392-397.
15 Yashon D, Jane JA, White RJ. Prognosis and management of spinal cord and cauda equinabullet injuries in sixty-fivecivilians. JNeurosurgery 1970; 32: 163-170.
16 Stauffer ES, Wood RW, Kelly EG. Gunshot wounds ofthe spine: the effects oflaminectomy. J Bone Joint Surgery (Am) 1973; 61: 389-392.
17 Shroyer RN, Fortson CH, Theodotou CB. Delayed neurological sequellae of a retained foreign body (lead bullet) in the intervertebral disc space. J Bone Joint Surg Am 1960; 42 A 595-599.
18 Wu WQ. Delayed effects from retained foreign bodies in the spine and spinal cord. Surg Neurol 1986; 25: 214-218.
19 McFadden JT. Tissue reactions to standard neurosurgical metallic implants. J Neurosurgery 1972; 36: 598-603.
20 Tindel Tindel. et al. The effect of surgically implanted bullet fragments on the spinal cord in a rabbit model. JBone Joint Surg Am 2001; 83 A 884-90.
21 Piermattei D. Approach to the ilium through a lateral incision. In: An Atlas of SurgicalApproaches to the Bones and Joints of the Dog and Cat. Philadelphia: Saunders; 1993: 84-87.
22 Piermattei D. Approach to lumbar vertebra 7 and the sacrum through a dorsal incision. In: An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. Philadelphia: Saunders; 1993: 224-227.
23 Brinker WO. Guidelines for selecting bone plate and screw size. In: Manual of Internal Fixation in Small Animals. Brinker WO. (ed). New York: Springer-Verlag; 1998: 271.
24 Roe S. Biomechanical basis of bone fracture and fracture repair. In: Manual of Small Animal Fracture Repair and Management. Coughlan A, and Miller A.. (eds). BSAVA Gloucester. 1998: 17-28.
25 Ness M. Implant failure. In: Manual of Small Animal Fracture Repair and Management. Coughlan A, and Miller A. (eds). BSAVA Gloucester. 1998: 311-315.
26 Chhabra Chhabra. et al. Management of proximal femoral shaft fractures in osteopetrosis :acase series using internal fixation. Orthopedics 2005; 28: 587-592.
27 Natali C, Ingle P, Dowell J. Orthopaedic bone drills – can they be improved?. J Bone Joint Surg. 1996 78. B 3.
28 Benzel EC, Hadden TA, Coleman JE. Civillian gunshot wounds to the spinal cord and cauda equina. Neurosurgery 1987; 20: 281-285.
29 Wheeler Wheeler, Sharp N. Functional Anatomy. In: Small animal spinal disorders, diagnosis and surgery. Mosby-Wolfe: 2000: 8-20.