rifampin and Foreign-Body-Migration

Delayed complications associated with sublaminar and interspinous wiring in the pediatric cervical spine are rare. The authors present a case of delayed complication in which a cervical fusion wire migrated into the cerebellum, causing subsequent cerebellar abscess 2 years after posterior cervical arthrodesis. A craniotomy was required to remove the wire and drain the abscess. Despite their history of safety and successful fusion, procedures involving sublaminar and interspinous wiring carry a risk of neurological injury secondary to wire migration. A thorough neuroimaging evaluation is required in patients who have undergone fusion and who have neurological complaints to detect late instrumentation-related sequelae.

Topics: Adolescent; Anti-Bacterial Agents; Bone Wires; Brain Abscess; Cerebellar Diseases; Cervical Vertebrae; Foreign-Body Migration; Humans; Magnetic Resonance Imaging; Male; Nafcillin; Penicillins; Reoperation; Rifampin; Spinal Fusion; Staphylococcal Infections; Tomography, X-Ray Computed