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Penetrating spinal cord injuries with retained canal fragments

Published online by Cambridge University Press:  21 May 2015

David T. Williams ,
Danny L. Chang  and
Matthieu P. DeClerck
David T. Williams
Affiliation:
Department of Emergency Medicine, University of Southern California, Keck School of Medicine, Los Angeles, Calif.
Danny L. Chang
Affiliation:
Department of Emergency Medicine, University of Southern California, Keck School of Medicine, Los Angeles, Calif.
Matthieu P. DeClerck
Affiliation:
Department of Emergency Medicine, University of Southern California, Keck School of Medicine, Los Angeles, Calif.

Extract

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Case 1: A previously healthy 15-year-old boy was brought by paramedics to the emergency department (ED) after suffering multiple penetrating gunshot wounds (GSWs) to the lower extremities and a single entry to the left suprascapular region. Vital signs were within normal limits upon presentation.

Case 2: A previously healthy 19-year-old man was brought by paramedics to the ED after suffering multiple stab wounds to the back. The patient was hypoxic and in severe respiratory distress upon arrival. A left thoracostomy tube was placed. Clinically the patient improved and vital signs returned to normal.

Keywords

spinal cord injurypenetrating traumagunshot woundsstab woundsparalysis

Information

Type
Knowledge Applied to Practice Application des connaissances à la pratique
Information
Canadian Journal of Emergency Medicine , Volume 11 , Issue 2 , March 2009 , pp. 172 - 173
Copyright
Copyright © Canadian Association of Emergency Physicians 2009

References

1.National Spinal Cord Injury Statistical Center (NSCISC). Spinal cord injury: facts and figures at a glance. Birmingham (AL): University of Alabama at Birmingham, National Spinal Cord Injury Center; 2006.Google Scholar
2.Waters, RL, Sie, IH. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Relat Res 2003;408:120–5.Google Scholar
3.Shahlaie, K, Chang, DJ, Anderson, JT. Nonmissile penetrating spinal injury. Case report and a review of the literature. J Neurosurg Spine 2006;4:400–8.CrossRefGoogle Scholar