A Spinal Cord Injury Caused by a Migrating Kirschner Wire Following Osteosynthesis of the Clavicle: A Case Review

Czech version

Authors: V. Přibáň ¹; P. Toufar ²
Authors‘ workplace: Neurochirurgické oddělení, Nemocnice České Budějovice a. s, primář MUDr. V. Chlouba ¹; Oddělení úrazové a plastické chirurgie, Nemocnice České Budějovice a. s., primář P. Kopačka ²
Published in: Rozhl. Chir., 2005, roč. 84, č. 7, s. 373-375.
Category: Monothematic special - Original

Overview

A case of penetrating spinal cord injury in 47 year old man, caused by migration of Kirschner wire is presented. The patient underwent the operation for acromioclavicular luxation 2 years ago – osteosynthesis with the use of 2 Kirschner wires. Admission with clinical symptoms of severe paraparesis of lower limbs. CT proved penetration of the first K-wire transversally through spinal cord in the level C7/T1, the second one stopped in the right transversal foramen T4. Emergent operation – extraction of Kirschner wires, followed by methyl-prednisolon therapy, according NASCIS II study. Gradual partial recovery of neurological deficit, with ability to walk and continence. Permanent sexual dysfunction.

Key words:
spinal cord injury – penetrating – Kirschner wires – operation

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Article was published in

Perspectives in Surgery

2005 Issue 7