Pediatric case of a penetrating lumbar spinal injury.
Penetrating spinal injury
Spinal cord injury
Spinal trauma with foreign body
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227
Informations de publication
Date de publication:
19 Oct 2023
19 Oct 2023
Historique:
received:
30
06
2023
accepted:
10
10
2023
medline:
19
10
2023
pubmed:
19
10
2023
entrez:
19
10
2023
Statut:
aheadofprint
Résumé
Penetrating spinal injuries are generally extremely rare and are seldom encountered in pediatric patients. The non-compliance of pediatric patients with physical examination can sometimes delay diagnosis and treatment. Here, we present a case of a child who had a fall and suffered penetrating spinal trauma due to a small glass fragment. A penetrating foreign body was detected in the lumbar spinal region of a 2-year-old patient with complaints of increased restlessness on physical activity followed by difficulty in walking. The patient was operated on and followed up without any complications in the perioperative and late postoperative periods. A detailed physical examination is necessitated in the pediatric age group because of insufficient anamnesis. The high number of patients per physician, especially in societies having a low socioeconomic standard, prevents detailed examinations, and unnecessary examinations may cause delays in diagnosis. However, one must note that the skin findings of pediatric patients can be very helpful, especially in pediatric neurosurgery, and examination should not be neglected.
Identifiants
pubmed: 37855878
doi: 10.1007/s00381-023-06180-z
pii: 10.1007/s00381-023-06180-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Fung CF, Ng TH (1992) Delayed myelopathy after a stab wound with a retained intraspinal foreign body: case report. J Trauma 32(4):539–41. https://doi.org/10.1097/00005373-199204000-00020
Splavski B, Vranković D, Sarić G, Blagus G, Mursić B, Rukovanjski M (1996) Early management of war missile spine and spinal cord injuries: experience with 21 cases. Injury 27(10):699–702. https://doi.org/10.1016/s0020-1383(96)00130-1
Shahlaie K, Chang DJ, Anderson JT (2006) Nonmissile penetrating spinal injury. Case report and review of the literature J Neurosurg Spine 4(5):400–8. https://doi.org/10.3171/spi.2006.4.5.400
Kazan MS (2014) Pediatric physical and neurological examination. Publications of the Turkish neurosurgery association. Pediatr Neurosurg pp 21–33
Karacan İ, Koyuncu H, Pekel Ö et al (2000) Traumatic spinal cord injuries in Turkey: a nation-wide epidemiological study. Spinal Cord 38(11):697–701. https://doi.org/10.1038/sj.sc.3101064
İsmailoğlu Ö, Yaka U, Sencer A (2010) Surgical approach in cutting tool injuries of the spine. Türk Nöroşirurji Dergisi (Turkish) 20(3):122–126
Ökten Aİ, Bilal S, Ergün R, Bostancı U (1998) Penetrating injury due to stabbing of the spine: case report. National Trauma J 4(4):296–299
Karavelioğlu E (2012) Penetrating spinal cord injury caused by rebar: case report and review of the literature. Turk J Spine Surg 23(1):45–50
Moyed S, Shanmuganathan K, Mirvis SE, Bethel A, Rothman M (1999) MR imaging of penetrating spinal trauma. AJR Am J Roentgenol 173(5):1387–91. https://doi.org/10.2214/ajr.173.5.10541126
Jallo GI (1997) Neurosurgical management of penetrating spinal injury: Surg Neurol 47(4):328–330. https://doi.org/10.1016/s0090-3019(96)00458-2
Kulkarni AV, Bhandari M, Stiver S, Reddy K (2000) Delayed presentation of spinal stab wound: Case report and review of the literature. J Emerg Med 18(2):209–13. https://doi.org/10.1016/s0736-4679(99)00196-1