Delayed Migration of Fractured K-wire Causing Vertebral Artery Invagination After Anterior Atlantoaxial Fixation : A Case Report

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dc.contributor.author Hafez, Ahmad
dc.contributor.author Ibrahim, Tarik F.
dc.contributor.author Raj, Rahul
dc.contributor.author Antinheimo, Jussi
dc.contributor.author Siironen, Jari
dc.contributor.author Hernesniemi, Juha
dc.date.accessioned 2017-09-14T09:53:52Z
dc.date.available 2021-12-16T22:45:13Z
dc.date.issued 2016-04
dc.identifier.citation Hafez , A , Ibrahim , T F , Raj , R , Antinheimo , J , Siironen , J & Hernesniemi , J 2016 , ' Delayed Migration of Fractured K-wire Causing Vertebral Artery Invagination After Anterior Atlantoaxial Fixation : A Case Report ' , World Neurosurgery , vol. 88 , ARTN 695.E5 . https://doi.org/10.1016/j.wneu.2015.12.082
dc.identifier.other PURE: 64512773
dc.identifier.other PURE UUID: 7cd10063-5c57-4e8f-86d7-4d5e21b01e9b
dc.identifier.other WOS: 000374649700131
dc.identifier.other Scopus: 84957922722
dc.identifier.uri http://hdl.handle.net/10138/223997
dc.description.abstract BACKGROUND: Most of the physician's attention during spinal surgery, when using wires and screws, is toward the avoidance of injuries of critical structures (nerves and vessels). When such wires are broken during surgery, the most important point is to take them out safely or, if it is impossible, to leaf them in secure place and follow the patient closely. Migrations of broken Kirschner wire (K-wire) are well known in literature; however, to the best of our knowledge, migration of a fractured K-wire during anterior atlantoaxial fixation of cervical spine has not been reported in the literature. CASE DESCRIPTION: We report a case in which a fractured K-wire was imbedded in the lateral mass of C1 for 3 years and then migrated to endanger the dominant right vertebral artery. By using posterior approach and drilling right part of posterior arch of C1, we manage to secure the vertebral artery. The broken K-wire was extracted successfully. In our case, with optimal follow-up, the burred wire inside hard bone was moved in delayed fashion to come out of the bone, grooving the dominant vertebral artery. CONCLUSIONS: Our recommendation is to inspect the K-wire before using it and to try retrieve as much as possible when removing it. en
dc.format.extent 6
dc.language.iso eng
dc.relation.ispartof World Neurosurgery
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Atlantoaxial fixation
dc.subject K-wire migration
dc.subject Vertebral artery
dc.subject TRANSARTICULAR SCREW FIXATION
dc.subject FAILED ODONTOID FIXATION
dc.subject POLYAXIAL SCREW
dc.subject KIRSCHNER WIRE
dc.subject COMPLICATION
dc.subject SALVAGE
dc.subject INJURY
dc.subject FUSION
dc.subject SYSTEM
dc.subject 3112 Neurosciences
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title Delayed Migration of Fractured K-wire Causing Vertebral Artery Invagination After Anterior Atlantoaxial Fixation : A Case Report en
dc.type Article
dc.contributor.organization Neurokirurgian yksikkö
dc.contributor.organization Clinicum
dc.contributor.organization Department of Neurosciences
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.wneu.2015.12.082
dc.relation.issn 1878-8750
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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