Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery

We present the case of a 58-year-old woman who underwent a minimally invasive robotic-assisted L4-S1 instrumentation and fusion which was complicated by a Kirschner wire (K-wire) fracture and migration into the abdominal cavity necessitating emergent exploratory laparotomy. Retrieval of the K-wire p...

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Main Authors: Ashley Peterson, Lynn K. Ngai, Mark A. Burbridge
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2019/9581285
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author Ashley Peterson
Lynn K. Ngai
Mark A. Burbridge
author_facet Ashley Peterson
Lynn K. Ngai
Mark A. Burbridge
author_sort Ashley Peterson
collection DOAJ
description We present the case of a 58-year-old woman who underwent a minimally invasive robotic-assisted L4-S1 instrumentation and fusion which was complicated by a Kirschner wire (K-wire) fracture and migration into the abdominal cavity necessitating emergent exploratory laparotomy. Retrieval of the K-wire proceeded without incident, and the patient had an otherwise uneventful surgery and recovery. This is the first such case description reported in the literature. As minimally invasive robotic-assisted spine procedures become more common, it is essential for the anesthesiologist to be familiar with potential complications to manage such patients in the perioperative period optimally.
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spelling doaj-art-cdd989faafaf45089921092a6ffaac4e2025-08-20T02:20:01ZengWileyCase Reports in Anesthesiology2090-63822090-63902019-01-01201910.1155/2019/95812859581285Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine SurgeryAshley Peterson0Lynn K. Ngai1Mark A. Burbridge2Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USADepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USADepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USAWe present the case of a 58-year-old woman who underwent a minimally invasive robotic-assisted L4-S1 instrumentation and fusion which was complicated by a Kirschner wire (K-wire) fracture and migration into the abdominal cavity necessitating emergent exploratory laparotomy. Retrieval of the K-wire proceeded without incident, and the patient had an otherwise uneventful surgery and recovery. This is the first such case description reported in the literature. As minimally invasive robotic-assisted spine procedures become more common, it is essential for the anesthesiologist to be familiar with potential complications to manage such patients in the perioperative period optimally.http://dx.doi.org/10.1155/2019/9581285
spellingShingle Ashley Peterson
Lynn K. Ngai
Mark A. Burbridge
Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery
Case Reports in Anesthesiology
title Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery
title_full Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery
title_fullStr Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery
title_full_unstemmed Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery
title_short Intraoperative Kirschner Wire Migration during Robotic Minimally Invasive Spine Surgery
title_sort intraoperative kirschner wire migration during robotic minimally invasive spine surgery
url http://dx.doi.org/10.1155/2019/9581285
work_keys_str_mv AT ashleypeterson intraoperativekirschnerwiremigrationduringroboticminimallyinvasivespinesurgery
AT lynnkngai intraoperativekirschnerwiremigrationduringroboticminimallyinvasivespinesurgery
AT markaburbridge intraoperativekirschnerwiremigrationduringroboticminimallyinvasivespinesurgery