[A spinal cord injury caused by a migrating Kirschner wire following osteosynthesis of the clavicle: a case review].
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.
Pribán
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Neurochirurgické oddĕlení, Nemocnice Ceské Budĕjovice a.s.
Toufar
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D000173:Acromioclavicular Joint / Q000601:surgery; D001864:Bone Wires / Q000009:adverse effects*; D002968:Clavicle / Q000601:surgery*; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices / Q000009:adverse effects; D013119:Spinal Cord Injuries / Q000209:etiology*; D014950:Wounds, Penetrating / Q000209:etiology