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Stab Wound with Lodged Knife Tip Causing Spinal Cord and Vertebral Artery Injuries: Case Report and Literature Review.
MedLine Citation:
PMID:  22343271     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT:: Study Design. Case report and literature review.Objective. To report the case of a young patient who sustained a penetrating wound with a knife tip retained in his cervical vertebrae and to review the literature.Summary of Background Data. Stab wound with foreign body retained, associated with spinal cord (SCI) and vertebral artery injury (VAI) is not commonly reported. The timing and approach of surgical intervention is still controversial.Methods. A 17-year-old boy with a wound in the neck presented with diminishing feeling and dysfunction of the left leg and arm. X-rays demonstrated a foreign body at the C4 level and possible spinal cord and vertebral artery injury were detected by Computed Tomography (CT). Digital subtracted angiography (DSA) showed a small lateral opening of the injured artery, which was successfully embolized. The knife tip was removed from the original wound without severe cerebrospinal fluid (CSF) leakage or bleeding,Results. The patient achieved immediately improved after the operation.Conclusion. Cases of simultaneous SCI and VAI where the foreign body is retained are uncommonly reported. DSA is necessary for cervical penetrating wounds and surgical approach should be individualized.
Authors:
Xinlei Xia; Fan Zhang; Fei Zhou Lu; Jianyuan Jiang; Lixun Wang; Xiaoshen Ma
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-16
Journal Detail:
Title:  Spine     Volume:  -     ISSN:  1528-1159     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Department of Orthopedics, Huashan Hospital, Fudan University, China 2Department of Orthopedics, Huashan Hospital, Fudan University, China 3Department of Orthopedics, Huashan Hospital, Fudan University, China 4Department of Orthopedics, Huashan Hospital, Fudan University, China 5Department of Orthopedics, Huashan Hospital, Fudan University, China 6Department of Orthopedics, Huashan Hospital, Fudan University, China.
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