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

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F24%3AA250387D" target="_blank" >RIV/61988987:17110/24:A250387D - isvavai.cz</a>

Result on the web

<a href="http://journals.sagepub.com/doi/10.1177/14604086231225361" target="_blank" >http://journals.sagepub.com/doi/10.1177/14604086231225361</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1177/14604086231225361" target="_blank" >10.1177/14604086231225361</a>

Result language

angličtina

Original language name

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

Original language description

<jats:sec><jats:title>Introduction</jats:title> 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. </jats:sec><jats:sec><jats:title>Case Report</jats:title> 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. </jats:sec><jats:sec><jats:title>Discussion</jats:title> A thorough literature review reveals 30 other cases of K-wire migration to the cervical spine. Vague symptoms are the norm with &lt;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. </jats:sec><jats:sec><jats:title>Conclusion</jats:title> 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. </jats:sec>

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30221 - Critical care medicine and Emergency medicine

Project

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Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2024

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

TRAUMA-ENGLAND

ISSN

1460-4086

e-ISSN

1477-0350

Volume of the periodical

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Issue of the periodical within the volume

January 31, 2024

Country of publishing house

GB - UNITED KINGDOM

Number of pages

8

Pages from-to

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UT code for WoS article

001155710200001

EID of the result in the Scopus database

2-s2.0-85184167694