Venkataramana K, Sreenivas Kalyan Deepak, Iytha Muni Srikanth, Abraham Vineet Thomas
Department of Orthopedics, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
J Orthop Case Rep. 2024 Oct;14(10):96-101. doi: 10.13107/jocr.2024.v14.i10.4824.
Kirshner wires are commonly used for orthopedic surgical fixation for shoulder injuries, particularly around the acromioclavicular joint. They are versatile, cheap, and minimally invasive in stabilizing bone fragments. However, there have been cases of secondary migration of K-wires from the clavicle to surrounding tissues, particularly around the cervical spine.
We present a case of a 60-year-old female with left-sided neck pain and radiation to the left upper limb, a K-wire was found to have migrated through the C7-T1 foramina left side into the spinal canal posterior to the vertebral body in a transverse trajectory. The patient underwent surgical removal of the K-wire, and post-operative pain improved without neurological complaints.
Even though Kirshner wires are versatile, cheap, and minimally invasive in stabilizing bone fragments, but migration to unexpected anatomical sites remains a concern. This paper reviews the literature and discusses clinical presentation, diagnostic modalities, and surgical approaches related to spinal canal migration of K-wires.
克氏针常用于肩部损伤的骨科手术固定，尤其是在肩锁关节周围。它们用途广泛、价格便宜，且在稳定骨碎片方面具有微创性。然而，有克氏针从锁骨继发迁移至周围组织的病例，特别是在颈椎周围。
我们报告一例60岁女性，有左侧颈部疼痛并向左上肢放射，发现一根克氏针经左侧C7-T1椎间孔以横向轨迹迁移至椎体后方的椎管内。患者接受了克氏针手术取出，术后疼痛改善，无神经方面的主诉。
尽管克氏针在稳定骨碎片方面用途广泛、价格便宜且具有微创性，但迁移至意外解剖部位仍是一个问题。本文回顾了文献并讨论了与克氏针椎管迁移相关的临床表现、诊断方法和手术方式。
