Non-missile penetrating spinal injuries

Goyal, Ravishankar S; Goyal, Navin K.; Salunke, Pravin

doi:10.1016/s0973-0508(09)80035-x

Cited by 15 publications

(23 citation statements)

References 21 publications

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“…It was probably chosen by the assailant as it was unlikely to be deflected by the bony spinous processes which was the spinal protective mechanism postulated by Peacock 1. When the object is impacted, as in our patient, there are significant challenges with patient’s positioning, transportation and anaesthesia 5 8…”

Section: Discussionmentioning

confidence: 99%

“…Reports of screw driver NMPSI are rare 5–8. It was probably chosen by the assailant as it was unlikely to be deflected by the bony spinous processes which was the spinal protective mechanism postulated by Peacock 1.…”

Section: Discussionmentioning

confidence: 99%

“…In contemporary practice, CT scan is the investigation tool of choice. It detects foreign bodies, fractures as well as spinal haematomas 5. Its short acquisition time makes it particularly endearing in emergency cases like this.…”

Section: Discussionmentioning

confidence: 99%

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Screw driver: an unusual cause of cervical spinal cord injury

Rabiu

Aremu²,

Amao³

et al. 2011

Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Screw driver: an unusual cause of cervical spinal cord injury

Rabiu

Aremu²,

Amao³

et al. 2011

Case Reports

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“…Because of capability to show foreign objects, bony fragments, intravertebral and paravertebral hematoma, CT scan is a suitable imaging technique for the patients with NMPSI. On CT scan, a metallic object like blade may produce streak artifacts, but this defect aids in localization of tip of blade (11) . In SCI, MRI demonstrates medulla spinalis compression, ligamentous and vascular injuries and also can show trajectory of missile, spinal contusion and vertebral hematoma.…”

Section: Dıscussıonmentioning

confidence: 99%

“…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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