Li Yawei, Wang Bing, Lv Guohua, Xiong Guangzhong, Liu Weidong
Second Xiangya Hospital of Central South University, Department of Spinal Surgery, Changsha, China.
Turk Neurosurg. 2013;23(6):803-6. doi: 10.5137/1019-5149.JTN.5300-11.1.
Orthopedic wires and pins are regularly used for the treatment of dislocations and bone fractures. Migration of these metallic fixation devices into the spinal canal is an uncommon complication. We present a 35-year-old man who underwent thoracic spinal canal migration of a Kirschner wire. The patient had undergone treatment of acromioclavicular joint dislocation with Kirschner wire fixation. Two months after the operation, a chest radiograph showed a Kirschner wire in the thoracic cavity. Chest computed tomography (CT) showed the object extended transversely across the spinal canal. Emergency video-assisted thoracoscopic surgery (VATS) was successfully performed to remove the Kirschner wire without any complication. The patient made an uneventful recovery and was discharged on the seventh day after surgery. In our opinion, it is important to pay attention to the migration of metallic fixation devices. Surgical removal of such migrated devices is necessary for preventing disastrous consequences. VATS is a safe and effective treatment in such cases.
骨科钢丝和钢针常用于治疗脱位和骨折。这些金属固定装置移入椎管是一种罕见的并发症。我们报告一名35岁男性，其克氏针移入了胸椎椎管。该患者曾接受克氏针固定治疗肩锁关节脱位。术后两个月，胸部X线片显示胸腔内有一根克氏针。胸部计算机断层扫描（CT）显示该物体横向穿过椎管。成功实施了急诊电视辅助胸腔镜手术（VATS）取出克氏针，无任何并发症。患者恢复顺利，术后第七天出院。我们认为，关注金属固定装置的移位很重要。手术取出此类移位装置对于防止灾难性后果是必要的。VATS在这类病例中是一种安全有效的治疗方法。
