The patient was operated by me 17-August-2011 for fracture L1 after falling down. The patient then came to the clinic 15-May-2012 complaining of back pain when bending with the upper right screw under the skin annoying her because, she is thin and slim. The patient in examination was free with stiff back and SLRS was 80 degrees in the right and 45 degrees in the left with pain.

Several X-rays done showing the same position of the screws and several investigations ruled out slippage or breaking of the construct. The patient is welling to remove the construct.

The old skin incision used. Palpation of the knots and direct dissection to expose the knots and the rods was done. The device with its connector were easily removed.

Routine closure of the wound. Smooth postoperative recovery. The patient during surgery did not bled, but 1 hour after surgery progressed hematoma under the skin for what heavy padding and compression were applied. The patient continued to show hematomas which were evacuated accordingly over 10 days and she was given Vit K and Pharmatone to correct the hypocoagulation.

The construct now have no function, since union of the fracture happened in the first 8-12 months. It is now annoying her, because the upper knot is under the skin.

In the future in such a similar case it is better to put the screws deep far away from the skin to avoid such situation.