Management of Penetrating Injuries to the Spine

Clarke, Michelle J.; Narayan, Ramachandran; Witham, Timothy F.

doi:10.1016/b978-1-4160-6839-6.10180-7

Cited by 2 publications

(2 citation statements)

References 38 publications

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“…27 Thus, the surgical indications are controversial, and there is a scientific consensus of conservative therapy, in most cases. [27][28] On the type of spinal cord injury, paraplegia 60% (n = 12) stood out as the most prevalent lesion type, followed by the tetraplegia 29% (n = 5)presenting, so similarities to some studies. [21][22] In paraplegia, spinal level more injured is the thoracic-lumbar, causing a neural deficit in this area.…”

Section: Resultsmentioning

confidence: 73%

Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Bomfim

Cabral

Lopes-Júnior

et al. 2014

R. pesq. cuid. fundam. online

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Objetivo: Determinar a prevalência de espécies bacterianas em úlceras por pressão (UP) de pacientes com lesão raquimedular assistidos por uma associação de deficientes físicos. Métodos: Estudo descritivo, transversal, quantitativo, conduzido em uma cidade nordestina de 2009 a 2010. A amostra foi consecutiva não probabilística e compreendeu 20 indivíduos com lesão raquimedular e UP, em acompanhamento na associação e sem uso de antibioticoterapia. Coletaram-se amostras de exsudatos das UP, utilizando suabes estéreis, semeadas em ágar sangue e incubadas a 35°C por 24 horas. Para identificação dos microrganismos foram empregadas provas bioquímicas. Utilizou-se estatística descritiva para análise dos dados. Resultados: Os seis microrganismos encontrados foram: S. aureus, S. epidermides, S. saprophyticus, Proteus spp., Escherichia coli e Enterobacter spp. Conclusões: Investigações microbiológicas prospectivas adicionais são necessárias para avaliar a prevalência dos agentes patogênicos de UP em pacientes lesionados, para instituir programas educacionais, nutricionais e terapêuticos que reduzam a colonização e infecção bacteriana.

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Section: Resultsmentioning

confidence: 73%

Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Bomfim

Cabral

Lopes-Júnior

et al. 2014

R. pesq. cuid. fundam. online

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“…Decision of operation should be considered if the patient has a potential for neurological recovery and neural element compression exists. Regardless of initial neurologic status, surgical intervention is critical for neurologic outcome (11,13,14) . The optimal timing of surgical intervention for spinal cord injury is controversial.…”

Section: Dıscussıonmentioning

confidence: 99%

A rare lumbar spinal column injury: glass injury

Toker¹,

Atilla²,

Kılıç³

et al. 2016

Terh

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Penetrating injuries to the vertebral column and the spinal cord are rare. Cauda equina injury caused by broken glass shards is even rarer than expected. In this study, a case of spinal column injury was reported in a 25-year-old female patient with glass shards stabbed in to her back, after falling back on top of the table made of glass. A piece of stabbed glass shards was extracted and the wound was sutured at another hospital before she presented to our emergency service. At the time of presentation, the patient had 2/5 muscle strength on her right leg and hypoesthesia below the L4 level. After emergency surgical intervention, the sensory deficit and the muscle strength have completely improved, and the patient was discharged after 6 days. In penetrating traumas to the lumbar region, emergency physician must keep possible spinal column injury in mind. Key words: Lumbar vertebra/injury, wounds, penetrating/diagnosis ÖZSpinal kolon ve spinal kordun penetran yaralanmaları enderdir. Cam kırılmasına bağlı cauda equina yaralanması beklenenden daha enderdir. Bu makalede cam masa üzerine düşme sonrası, sırtına cam saplanması nedeniyle spinal kolon yaralanması olan 25 yaşında bir kadın hasta sunulmuştur. Hastanın acil servisimize gelmeden önce başka bir hastanede saplanan cam parçasının bir parçası çıkarılmış ve yarası dikilmişti. Hastanın başvurusu sırasında sağ bacakta 2/5 kas gücü ve L4 seviyesinin altında hipoestezisi mevcuttu. Acil cerrahi müdahale sonrası hastada duyu ve motor defisit tamamen düzelmiş ve hasta operasyondan 6 gün sonra taburcu edilmişti. Lomber bölgeye olan penetran travmalarda, acil tıp hekimi spinal kolon yaralanması olabileceğini akılda bulundurmalıdır. Araşt. Hast. Dergisi 2016; 26(3):250-252 doi:10.5222/terh.2016.250 ıntroDuCtıon Injuries to the spinal cord have high morbidity rate and affects commonly young, healthful persons (1) . Stabbing injuries to the spinal cord, also named nonmissile penetrating spinal injuries (NMPSI) are unusual in clinical practice (2) . A nation-wide epidemiological study in Turkey showed that nonmissile penetrating injuries involve %3.3 of all spinal injuries (3) . We present a case with neurological deficit due to penetrating injury in the lumbar region which resolved after surgery. CasE rEportA 25-year-old woman applied to the emergency department (ED) with chief complaint of weakness in the right leg after falling back on the top of the table made of glass. A piece of stabbed glass was removed and the wound was sutured at another hospital before she presented to our ED. Her vital signs were within normal limits and a linear sutured laceration, approximately 4 cm in length, on the right paraspinal region at the L4 level was revealed. At the time of presentation, the patient had muscle strength of 2/5 on

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Management of Penetrating Injuries to the Spine

Cited by 2 publications

References 38 publications

Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

Pressure ulcers in patients with traumatic spinal cord injury: subsidies in microbiological identification

A rare lumbar spinal column injury: glass injury

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