From shoulder to spine: A rare case of K-wire migration after acromioclavicular fixation.

Acromioclavicular dislocation is frequently managed with temporary K-wire fixation, but wire migration remains a rare and serious complication. We report a case of intraspinal K-wire migration following acromioclavicular stabilization in a 58-year-old man. The wire was successfully removed through a supraclavicular approach, with postoperative pneumocephalus and pleural effusion both managed conservatively. This case highlights the potentially life-threatening risks of K-wire migration and the importance of correct fixation technique and regular follow-up.