Poranĕní míchy způsobené migrujícím kirschnerovým drátem po osteosyntéze klavikuly: kazuistika
[A spinal cord injury caused by a migrating Kirschner wire following osteosynthesis of the clavicle: a case review]
Language Czech Country Czech Republic Media print
Document type Journal Article
PubMed
16164089
- MeSH
- Acromioclavicular Joint surgery MeSH
- Joint Dislocations surgery MeSH
- Clavicle surgery MeSH
- Bone Wires adverse effects MeSH
- Middle Aged MeSH
- Humans MeSH
- Foreign-Body Migration complications MeSH
- Orthopedic Fixation Devices adverse effects MeSH
- Wounds, Penetrating etiology MeSH
- Spinal Cord Injuries etiology MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
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.
