Zum Problem der Materialwanderung nach Osteosynthese: Eindringen eines KIRSCHNER-Drahtes in den Spinalkanal

Hinzpeter, Th.; Sartor, K.

doi:10.1055/s-0029-1230751

Cited by 6 publications

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“…Only one case of migration of a Kirschner wire into the spinal canal has been previously described, although no neural symptoms were described. 2 This is the ®rst reported case of delayed thoracic spinal cord damage caused by migration of a clavicular ®xation wire.…”

Section: Introductionmentioning

confidence: 87%

Brown-Sequard syndrome caused by a Kirschner wire as a complication of clavicular osteosynthesis

1998

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A case of spinal cord injury caused by delayed migration of a Kirschner wire is reported. Some cases of distant injuries caused by bone wires, and acupuncture needles have been published, but this is the ®rst reported case of delayed thoracic spinal cord damage caused by the migration of a clavicular wire. A 22-year-old male patient was admitted with a clinical picture of spinal shock after performing physiotherapeutic exercises. Two months prior to this, the patient had undergone surgical treatment for a clavicular fracture in a di erent clinical center. Imaging showed a clavicular wire had migrated into the spinal canal. An early prescription of a spinal cord methyl-prednisolone protective treatment (NASCIS II), the surgical extraction of the foreign body and the rehabilitation exercises were the keys to a quick recovery.

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Section: Introductionmentioning

confidence: 87%

Brown-Sequard syndrome caused by a Kirschner wire as a complication of clavicular osteosynthesis

1998

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Intrathorakale Materialverlagerung nach Bohrdrahtfixation

Keferstein

1980

Unfallchirurgie

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Two cases of intrathoracic dislocation of Kirschner's wire are reported. In one case the migration of the wire had been discovered 3 years after osteosynthesis of the acromioclavicular joint and incomplete removal of the metal. In another case a fragment of Kirschner's wire had to be removed by mediastinoscopy five months after fixation of the sternoclavicular joint. The application of wire in clavicular joint position - even in connection with cerclage - does not correspond with the conditions of osteosynthesis fit for active or passive movement. Ligament healing requires additional fixation, gymnastic mobilisation under control is necessary. The wires should be removed completely after 8-10 weeks, intrathoracic dislocation requires treatment by a surgeon with good experience in thoracic surgery.

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Migration of a Kirschner wire into the spinal cord: A case report and literature review

Furuhata

Nishida

Morishita

et al. 2018

The Journal of Spinal Cord Medicine

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Zum Problem der Materialwanderung nach Osteosynthese: Eindringen eines KIRSCHNER-Drahtes in den Spinalkanal

Cited by 6 publications

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Brown-Sequard syndrome caused by a Kirschner wire as a complication of clavicular osteosynthesis

Brown-Sequard syndrome caused by a Kirschner wire as a complication of clavicular osteosynthesis

Intrathorakale Materialverlagerung nach Bohrdrahtfixation

Migration of a Kirschner wire into the spinal cord: A case report and literature review

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