Penetrating Spinal Cord Injury

Kramer, Moti; Acker, Asaf; Ohana, Nissim

doi:10.5772/intechopen.76857

Cited by 6 publications

(4 citation statements)

References 85 publications

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“…Surgical intervention has been demonstrated to reduce delayed complications. Delayed wound infection has been observed in cases managed solely with irrigation and suture [1]. Decompression, laminectomy, and hemilaminectomy are typically required for symptomatic cases.…”

Section: Discussionmentioning

confidence: 99%

“…Spinal cord injuries (SCI) resulting in lifelong disabilities are a significant societal burden, particularly affecting the working population in their third decade of life [1]. The earliest known record of penetrating SCI dates back to 1700 BC in Egyptian papyrus, while in the second century [2], Greek physician Galen demonstrated that a horizontal cut through the spine of a monkey led to motor and sensory loss below the spinal cord cut [3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Breaking the Mold: Surgical Exploration for Spinal Impalement Injury Without Neurological Deficit

Kachare,

Jagiasi,

Sharan

et al. 2023

Cureus

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Spinal cord injuries (SCI) are a significant burden on society, particularly affecting the working population. Traumatic SCI can result from violent confrontations, involving firearms, knives, or edged weapons. Although surgical techniques for these injuries are not well defined, surgical exploration, decompression, and removal of the foreign body are currently indicated for patients with spinal stab wound injuries with neurologic impairment.We present a case of a 32-year-old male patient who presented to the emergency department with a stab injury with a knife. Radiographs and CT scans revealed a broken knife blade with a midline trajectory in the lumbar spine, moving toward the vertebral body of L2 occupying less than 10% of the intramedullary canal. The patient underwent surgery, and the knife was successfully extracted without any complications. Postoperative MRI showed no signs of cerebrospinal fluid (CSF) leak, and the patient did not exhibit any sensorimotor deficit.The acute trauma life support (ATLS) procedure must be followed while treating a patient with penetrating spinal trauma with or without neurological impairment. After availing appropriate investigations, any attempt to remove a foreign object should be done. Although spinal stab wound injuries are uncommon in developed nations, they continue to be a source of traumatic cord damage in underdeveloped countries. Our case highlights the successful surgical management of a spinal stab wound injury with a good outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Breaking the Mold: Surgical Exploration for Spinal Impalement Injury Without Neurological Deficit

Kachare,

Jagiasi,

Sharan

et al. 2023

Cureus

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“…Spinal cord injury (SCI) and the lifelong disabilities associated with it are of a major concern to the society worldwide (13) . Therefore, in order to provide optimized benefits to current therapies, it is necessary to identify the expression of novel, highly sensitive and specific biomarkers in SCI.…”

Section: Discussionmentioning

confidence: 99%

Circulating Free Nucleic Acid Expression in Spinal Cord Injury

Salah

Matboli

Nasser

et al. 2019

Ain Shams Medical Journal

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Background: Spinal Cord Injury (SCI) remains one of the most devastating and difficult to manage medical pathologies despite the tremendous progress in neuroscience and neurosurgery. These injuries bear substantial personal and economic burden. SCI is the underlying cause for 1 of every 40 patients admitted to a major trauma centre in EGYPT. The prevalence rate of SCD was 63/100,000 for the total population. Traumatic spinal cord injury had a prevalence of 18/100,000, while non-traumatic SCI was found in 45/100,000 Aim of the work: we aimed to explore the role of circulating TP53INP2 mRNA in spinal cord injury pathogenesis. Patients and methods: We used bioinformatics analysis to identify autophagy related pathway and spinal cord-specific mRNA, real-time reverse-transcription PCR for determining the relative expression of TP53INP2 mRNA in sera and tissue samples. We assessed the serum expression of the chosen mRNA in 23 individuals with acute spinal cord injury, 41 individuals with chronic spinal cord injury, and 36 healthy control. Results: Our study revealed that TP53INP2 mRNA expression was significantly increased in the serum of SCI patients compared with that of the control group. Conclusion: The results demonstrated the significant high expression ofTP53INP2 mRNA in SCI patients, further findings arising from this study will help to guide therapeutic strategies for SCI.

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“…Clinical features of cervical PSCI result directly from trauma but may also be associated with vascular impairment, which has been reported in autopsies. 4 Depending on the exact site of injury, the most common neurological deficit includes high or low tetraplegia or end up with deep unilateral paresis. 5 When a cutting edge runs between the spinous and transverse process, it may result in Brown-Sequard syndrome.…”

Section: Introductionmentioning

confidence: 99%

Arrow-Shot Injury to Pediatric Spinal Cord

Singh¹,

Thanvi²

2021

Indian Journal of Neurotrauma

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Penetrating spinal cord injuries (PSCI) in cervical region are extremely rare in pediatric population. Most injuries in pediatric population are accidental due to gunshot or a stab injury with a sharp or pointed object. Gun shots may result into a severe wound which is usually fatal and may result in death, quadriplegia, or serious long-term disability. Stab injuries are less severe and may result in neurological sequalae. In this paper, an unusual case of pediatric arrow shot partial cervical cord injury is reported which was managed by aggressive neurosurgical management. The arrow lodged in the cervical cord was very near to the vertebral artery leading to parapariesis which recovered well without any complications. Diagnostic imaging at admission included radiographs, computed tomography (CT), and CT angiography of the cervical region. The patient underwent early surgical intervention with removal of foreign body from the cord and subsequent dural suturing.

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Penetrating Spinal Cord Injury

Cited by 6 publications

References 85 publications

Breaking the Mold: Surgical Exploration for Spinal Impalement Injury Without Neurological Deficit

Breaking the Mold: Surgical Exploration for Spinal Impalement Injury Without Neurological Deficit

Circulating Free Nucleic Acid Expression in Spinal Cord Injury

Arrow-Shot Injury to Pediatric Spinal Cord

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