What to Do If Your Bone Pins Break: A Guide for Young Patients

Q: What to Do If Your Bone Pins Break: A Guide for Young Patients

Dear User： Whether or not to remove a broken screw depends on whether it causes you significant discomfort or harm. <br>If the broken screw is causing particular discomfort or injury, then removal should certainly be considered. <br>The purpose of the fixation with screws is to p

What should I do if a nail implanted in my body breaks?

This year, I had spinal fusion surgery and had four screws placed.
This month, I had an X-ray and found that two of the screws have broken.
The doctor said that since two screws are broken, they do not need to be removed.
However, I am in my early 20s, and I would like to know if there is a way to have them removed, or if they will really stay in my body for life.
If they cannot be removed, what are the potential long-term effects? Additionally, I experience significant pain when bending at the waist, and I feel numbness if I sit for too long—about five minutes.
How should I address this? Thank you!

Wanzi, 20~29 year old female. Ask Date: 2007/12/21

Dr. Chen Xingyuan reply Orthopedics

Dear User: Whether or not to remove a broken screw depends on whether it causes you significant discomfort or harm.
If the broken screw is causing particular discomfort or injury, then removal should certainly be considered.
The purpose of the fixation with screws is to provide immediate stabilization to the injured part of the spine, thereby reducing damage and promoting functional recovery, ultimately allowing for proper fusion of the vertebrae to achieve permanent stability.
If your fixation screws are fractured, you should consider: 1.
Whether you had appropriate protection after surgery 2.
Whether the vertebrae have achieved good fusion.
Instability of the vertebrae is often a primary cause of lower back pain and numbness.
I recommend consulting your attending physician to understand your current condition for further management.
Wishing you health and safety! Sincerely, Dr.
Chen

Reply Date: 2007/12/21

More Info

If you find yourself in a situation where bone pins have broken, especially at a young age, it’s essential to understand the implications and the options available for management. Given your circumstances of having undergone spinal surgery with four pins inserted, and now discovering that two of them have broken, it’s understandable to have concerns about your health and future mobility.

Understanding Broken Bone Pins
Firstly, it’s important to recognize that broken bone pins, while concerning, are not uncommon in patients who have undergone orthopedic procedures. The decision to leave broken pins in place or to remove them often depends on several factors, including the stability of the surrounding bone, the presence of any symptoms, and the overall health of the patient.

1. Why Pins Might Not Be Removed: If your doctor has advised against removing the broken pins, it may be because:
- The remaining pins are still providing adequate support.

- The broken pins are not causing any immediate complications or pain.

- Removal surgery could pose additional risks, including infection or further injury.

2. Long-term Considerations: Leaving broken pins in place can sometimes lead to complications, such as:
- Infection: If the pins are exposed or if there is a risk of infection, this could necessitate their removal.

- Pain or Discomfort: Some patients may experience chronic pain or discomfort due to the presence of broken hardware.

- Mobility Issues: Depending on the location of the pins and the nature of your injury, there may be implications for your mobility and physical activity.

Managing Pain and Discomfort
You mentioned experiencing specific pain when bending and numbness after sitting for extended periods. Here are some strategies to manage these symptoms:
- Physical Therapy: Engaging in physical therapy can help strengthen the muscles around your spine, improve flexibility, and alleviate pain. A physical therapist can design a program tailored to your needs.

- Pain Management: Over-the-counter pain relievers, such as acetaminophen or NSAIDs (like ibuprofen), can help manage pain. However, always consult with your healthcare provider before starting any medication.

- Posture and Ergonomics: Pay attention to your posture while sitting and standing. Using ergonomic furniture or supports can help reduce strain on your back.

- Activity Modification: If certain activities exacerbate your pain, consider modifying them. For example, take breaks to stand or stretch if you sit for long periods.

When to Seek Further Evaluation
If you continue to experience significant pain, numbness, or other concerning symptoms, it’s crucial to follow up with your healthcare provider. They may recommend imaging studies, such as X-rays or MRIs, to assess the situation further. If the broken pins are causing complications, they may discuss the possibility of surgical intervention.

Conclusion
In summary, while broken bone pins can be a source of concern, many patients live with them without significant issues. Your healthcare provider is the best resource for determining the appropriate course of action based on your specific situation. Engaging in physical therapy, managing pain effectively, and maintaining open communication with your medical team will be key to your recovery and long-term health. Remember, your age and overall health can play a significant role in your recovery, so stay proactive about your health and follow your doctor's recommendations closely.

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