Background Intramedullary clavicle fixation is a potential alternative to plate fixation. Previous studies documenting the complication rates of intramedullary clavicle fixation have demonstrated variable rates of soft tissue complications and fracture healing.

There is a significantly higher rate of spine and wound infections with trans-gastrointestinal gunshot wounds to the spine. These injuries, particularly those that involve the colon, put patients at risk for the development of spine infections after spinal surgery. Randomized controlled trials are necessary for the development of a specific protocol for intravenous antibiotic therapy in the setting of transgastrointestinal gunshot wounds to the spine.

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