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

Furuhata, Ryogo; Nishida, Mitsuhiro; Morishita, Midori; Yanagimoto, Shigeru; Tezuka, Masaki; Okada, Eijiro

doi:10.1080/10790268.2017.1419915

Cited by 10 publications

(4 citation statements)

References 14 publications

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“…However, it may cause significant complications, such as solid organ (heart, lung, and liver) penetration, bowel or colon perforation, spinal cord injury, arterial injury, nerve injury, and even death. [ 10 , 12 , 13 ] Recognition of wire migration may vary from four days to 25 years. [ 10 ] If there is any symptom, migration can be detected early, but in asymptomatic cases, migration could be detected incidentally during radiological examination.…”

Section: Discussionmentioning

confidence: 99%

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

Köroğlu,

Karakaplan,

Ergen

et al. 2024

Jt Dis Relat Surg

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Section: Discussionmentioning

confidence: 99%

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

Köroğlu,

Karakaplan,

Ergen

et al. 2024

Jt Dis Relat Surg

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“…K-wire migration into organs such as the lung, heart, liver, and esophagus has been reported in a few cases, although the majority of the cases are asymptomatic and do not result in organ injury. It is extremely unusual for K-wires to migrate into the spinal canal (Dorr, et al, 2016;Furuhata, et al, 2020).…”

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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“…The rigid arm reduces the need for K-wires, susceptible to migration or fracture, and may cause devastating neurovascular injury if inappropriately advanced. Examples include great vessel injury when advanced beyond the anterior cortex of transpedicular instrumentation, or brainstem injury in the case of anterior odontoid screws [17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

First spine surgery utilizing real-time image-guided robotic assistance

Ahmed

Zygourakis

Kalb

et al. 2019

Computer Assisted Surgery

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Robotics in spinal surgery has significant potential benefits for both surgeons and patients, including reduced surgeon fatigue, improved screw accuracy, decreased radiation exposure, greater options for minimally invasive surgery, and less time required to train residents on techniques that can have steep learning curves. However, previous robotic systems have several drawbacks, which are addressed by the innovative ExcelsiusGPS TM robotic system. The robot is secured to the operating room floor, not the patient. It has a rigid external arm that facilitates direct transpedicular drilling and screw placement, without requiring K-wires. In addition, the ExcelsisuGPS TM has integrated neuronavigation, not present in other systems. It also has surveillance marker that immediately alerts the surgeon in the event of loss of registration, and a lateral force meter to alert the surgeon in the event of skiving. Here, we present the first spinal surgery performed with the assistance of this newly approved robot. The surgery was performed with excellent screw placement, minimal radiation exposure to the patient and surgeon, and the patient had a favorable outcome. We report the first operative case with the ExcelsisuGPS TM , and the first spine surgery utilizing real-time image-guided robotic assistance. Case illustration Pre-operative presentationA 69-year-old female presented to the neurosurgical spine service with 10 years of intractable lower back

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

Abstract: This is the first report of a K-wire that had been used for sternal fixation migrating into the spinal cord. This case illustrates that although rare, it is possible for a K-wire to migrate upward after sternal fixation.

Cited by 10 publications

References 14 publications

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

A rare complication of tension band fixation of olecranon osteotomy: Distal migration of K-wire

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

First spine surgery utilizing real-time image-guided robotic assistance

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