Kirschner Wire Migration into SpinaL Canal after Acromioclavicular Joint Fixation (Literature Review and Clinical Case)

Gulyaev, D. A.; Гуляев, Д А; Godanyuk, D. S.; Годанюк, Д С; Kaurova, T. A.; Krasnoshlyk, P. V.; Майков, С. В.

doi:10.21823/2311-2905-2018-24-4-121-128

Cited by 5 publications

(1 citation statement)

References 18 publications

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“…Thus, there is still a lack of study to carefully analyze the complications. Spinal migration can cause severe injury or even death because of the damage to spinal cord, dura mater, and vertebral artery (Gulyaev, et al, 2018). Luckily, the entire bone structure of spine has been preventing the migration that could injure vital parts.…”

Section: Discussionmentioning

confidence: 99%

Spinal K-Wire Migration Following Acromioclavicular Dislocation Surgical Treatment: a Case Report With Scoping Review Discussion

Nizar Al Rhaazi,

Ahmadin Y.R. Susatyo,

Faesal

et al. 2023

MBIOMJ

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Background: Kirschner wire as internal fixation is a common instrument used in any small bone, including on Acromioclavicular Dislocation Surgical Treatment (ADST). Due to the characteristic of the wire, which is less rigid than any other instrument, the wire can sometimes migrate unexpectedly into various locations. Wire migration has been reported sporadically since 1943. However, spinal migration is still underreported. In addition, the mechanism of spinal migration and the evacuation method remains unclear. Objective: The purpose of this study was to report a case of K-wire spinal migration to cervical vertebrae C6-C7 following surgical treatment and discuss the case using the results of a scoping review. Case: A 51 years-old man with wire migration to cervical vertebrae C6-C7 complained of painful sensations around the left side of the neck and left shoulder, which aggravated with shoulder movement. He underwent left acra omioclavicular joint repair surgery three years ago after a motorcycle accident. No other abnormalities were found in either physical or neurological examinations. Discussion: In the last 10 years, six cases of spinal migration after ADST have been reported, with less than one case reported a year. The cases' gender was all male, with a mean age of 43.33 years old. The majority of them underwent acromioclavicular fixation in 50% of cases, and the average time from migration to surgery is 71 months. The most common migration is located in the cervical region (66.67%), and the penetrating points are equal in all cases. In the non-bent wire group, an entire migration has been reported. The evacuation technique used in all previous cases was direct access surgery by gently pulling out the wire along its axis under visual control. Various mechanisms contribute to spinal migration, but shoulder movement is arguably the most influential factor. Conclusion: Cervical migration post-ADST commonly occurs and may cause severe morbidity.

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Section: Discussionmentioning

confidence: 99%

Spinal K-Wire Migration Following Acromioclavicular Dislocation Surgical Treatment: a Case Report With Scoping Review Discussion

Nizar Al Rhaazi,

Ahmadin Y.R. Susatyo,

Faesal

et al. 2023

MBIOMJ

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From case to context: A case-driven comprehensive review on Kirschner wire migration to the cervical spine and neck

Hrubovčák,

Tulinský,

Jelínek

et al. 2024

Trauma

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Introduction Osteosynthesis using Kirschner wires constitutes a fundamental technique within the realms of traumatology and orthopaedics. Despite its widespread application and popularity, it is susceptible to migration of the wires. Case Report A 36-year-old patient presented with neck pain; subsequent radiographic imaging identified two Kirschner wires that had migrated to the cervical spine following failed removal after K-wiring of a fractured left clavicle 16 years previously. Surgical removal was undertaken complicated by a parapharyngeal abscess that needed surgical drainage and neurological symptoms in terms of left shoulder weakness and left arm/hand paraesthesia. All neurological symptoms resolved after many months of rehabilitation excepting some residual paraesthesia on the ulnar border of the left hand. Discussion A thorough literature review reveals 30 other cases of K-wire migration to the cervical spine. Vague symptoms are the norm with <25% presenting focal neurological symptoms, with only 6 penetrating the spinal cord, two of which were left with severe deficits. The other 28 patients had no long-term significant deficits. Conclusion The migration of K-wires into the spinal canal, is a rare but recognised complication. Functional outcomes are contingent on spinal cord injuries arising from the implantation. In the absence of spinal cord injury, a high probability of complete functional restoration and symptom resolution exists.

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Migration of a Kirschner Wire Into the Urinary Bladder: A Case Report

Farion¹,

Paskov²,

Dushin³

et al. 2023

Traumatology and Orthopedics of Russia

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Information actuality: The migration of Kirschner wires is the well-known complication described in sources of literature. Notwithstanding the fact that preventative measures against the migration of Kirschner wires are taken by orthopedic traumatologists in most cases, it does not the avoidance of the occurrence of this complication. Description of a clinical case: We presented the case of treatment of a female 70-year old patient with the asymptomatic migration of a Kirschner wire into the urinary bladder. It happened 5 years after the primary surgical intervention because of the left femoral neck fracture. The removal of a Kirschner wire from the urinary bladder with the further performance of the total endoprosthetic hip replacement was performed in the female patient. The surgical intervention proceeded without any complications. The female patient began to be involved in rehabilitation measures immediately after a surgery. Conclusion: The presented clinical case teaches us to be careful upon the performance of the osteosynthesis with the use of Kirschner wires and give much attention to measures aimed to the prevention of their fractures and their migration. Key words: migration of a wire, migration of a wire into the urinary bladder, migration of a Kirschner wire, urinary bladder injury, endoprosthetic replacement.

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Kirschner Wire Migration into SpinaL Canal after Acromioclavicular Joint Fixation (Literature Review and Clinical Case)

Cited by 5 publications

References 18 publications

Spinal K-Wire Migration Following Acromioclavicular Dislocation Surgical Treatment: a Case Report With Scoping Review Discussion

Spinal K-Wire Migration Following Acromioclavicular Dislocation Surgical Treatment: a Case Report With Scoping Review Discussion

From case to context: A case-driven comprehensive review on Kirschner wire migration to the cervical spine and neck

Migration of a Kirschner Wire Into the Urinary Bladder: A Case Report

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