A spinal cord injury caused by a migrating Kirschner wire following osteosynthesis of the clavicle: a case review
Pribán, V.; Toufar, P.
Rozhledy V Chirurgii Mesicnik Ceskoslovenske Chirurgicke Spolecnosti 84(7): 373-375
2005
ISSN/ISBN: 0035-9351 PMID: 16164089 Document Number: 587321
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.