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

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

<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>

Název v anglickém jazyce

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

Popis výsledku anglicky

<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>

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30221 - Critical care medicine and Emergency medicine

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2024

Kód důvěrnosti údajů

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

Název periodika

TRAUMA-ENGLAND

ISSN

1460-4086

e-ISSN

1477-0350

Svazek periodika

—

Číslo periodika v rámci svazku

January 31, 2024

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

8

Strana od-do

—

Kód UT WoS článku

001155710200001

EID výsledku v databázi Scopus

2-s2.0-85184167694