A member asked:

Posterior cervical fusion which resulted in misplaced screw abutting vetebral artery. surgeons recommend not to remove, may cause bleeding.

5 doctors weighed in across 3 answers

Abutting Vert: Abutting or clean through? A screw that is misplaced into the transverse foramen may simply be in proximity and not causing any problem. If at c7, there is no artery within the foramen transversarium, so only at risk for a venous issue. If you have no neurologic issues, nothing to do. Understand, that if vertebral arterial bleeding is encountered intraoperative, a screw left in place is treatment.

Answered 12/9/2013

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Dr. Mark Weston answered

Specializes in Orthopedic Spine Surgery

Complex descicion: Removing may very well be riskier than leaving it bleeding from the vert can be life threatening and of course stroke is ever present danger. Cerebral endovascular work has made recent great advancements you might ask interventionslist on the stroke team esp if there is a neuro surgeon on the team with cerebral endovascular experience if they have

Answered 4/10/2013

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Agree: I would not recommend removing the screw.

Answered 8/7/2014

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