Stab Wound With Lodged Knife Tip Causing Spinal Cord and Vertebral Artery Injuries: Case Report and Literature Review-猫眼课题宝

DOI：

10.1097/brs.0b013e31824e477f

发表时间：

2012-07

期刊：

Spine

影响因子：

通讯作者：

中科院分区：

医学2区

文献类型：

作者：

X. Xia;Fan Zhang;Feizhou Lu;Jianyuan Jiang;Li-xun Wang;Xiaosheng Ma

研究设计.病例报告和文献综述。Objective.报告一名年轻患者，其穿透伤的刀尖保留在其颈椎中，并回顾文献。背景数据总结。刺伤并有异物残留，与脊髓损伤和椎动脉损伤相关，并不常见。手术干预的时机和方法仍有争议。方法.一名17岁的男孩，颈部有伤口，感觉减退，左腿和手臂功能障碍。X线片显示C4节段有异物，计算机断层扫描检测到可能的脊髓和椎动脉损伤。数字减影血管造影显示受伤动脉有一个小的侧向开口，并成功栓塞。结果：刀尖从原始伤口中取出，无严重脑脊液漏或出血。病人在手术后立即得到改善。结论同时发生脊髓损伤和椎动脉损伤而导致异物残留的病例报道并不多见。颈部穿透伤应行数字减影血管造影，手术方式应个体化。

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 injury and vertebral artery injury, is not commonly reported. The timing and approach of surgical intervention are 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. Radiographs demonstrated a foreign body at the C4 level, and possible spinal cord and vertebral artery injuries were detected by computed tomography. Digital subtracted angiography 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 leakage or bleeding, Results. The patient achieved immediate improvement after the operation. Conclusion. Cases of simultaneous spinal cord injury and vertebral artery injury in which the foreign body is retained are uncommonly reported. Digital subtracted angiography is necessary for cervical penetrating wounds and surgical approach should be individualized.

Stab Wound With Lodged Knife Tip Causing Spinal Cord and Vertebral Artery Injuries: Case Report and Literature Review

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