Pribán V, Toufar P
Neurochirurgické oddĕlení, Nemocnice Ceské Budĕjovice a.s.
Rozhl Chir. 2005 Jul;84(7):373-5.
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.
本文报告一例47岁男性因克氏针移位导致的脊髓穿透伤病例。患者于两年前因肩锁关节脱位接受手术，采用两根克氏针进行骨固定。此次因出现双下肢严重轻瘫的临床症状入院。CT检查证实，第一根克氏针横向穿透C7/T1水平的脊髓，第二根停留在右侧T4横突孔。急诊手术取出克氏针，随后根据美国国立急性脊髓损伤研究（NASCIS II）进行甲泼尼龙治疗。神经功能缺损逐渐部分恢复，患者能够行走且大小便自控，但存在永久性性功能障碍。
