Abstract
Background: Penetrating spinal cord injuries pose a great challenge to both patients and the treating physicians. Although the overall incidence of penetrating spinal cord injury is the highest in the military, the ubiquity of guns in our society continues to make penetrating spinal cord injury prevalent in the civilian population. These types of injuries are particularly complicated because, beyond the trauma to the neural elements and supporting structures, other organs can be affected and a team approach is required for successful treatment. Case Description: In this report, the authors present a unique case of an ice pick penetrating posteriorly through the spinal canal into the aorta. The described surgical management involved careful consideration and planning to prevent worsening vascular and neurological compromise. Among the challenges faced are neurological compromise, vascular injury, spinal instability, and cerebrospinal fluid leak. Conclusion: To the author′s knowledge, this challenging case represents the first description of a successful removal of a penetrating thoracic spinal foreign body that terminated within the lumen of the thoracic aorta.
| Original language | English (US) |
|---|---|
| Pages (from-to) | S763-S766 |
| Journal | Surgical Neurology International |
| Volume | 7 |
| Issue number | 29 |
| DOIs | |
| State | Published - 2016 |
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Keywords
- Aorta
- penetrating trauma
- thoracic spine
- vascular injury
ASJC Scopus subject areas
- Surgery
- Clinical Neurology
Cite this
Penetrating thoracic spinal cord injury with ice pick extending into the aorta. A technical note and review of the literature. / Nasser, Rani; Nakhla, Jonathan; Shariff, Saadat; Kinon, Merritt D.; Yassari, Reza.
In: Surgical Neurology International, Vol. 7, No. 29, 2016, p. S763-S766.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Penetrating thoracic spinal cord injury with ice pick extending into the aorta. A technical note and review of the literature
AU - Nasser, Rani
AU - Nakhla, Jonathan
AU - Shariff, Saadat
AU - Kinon, Merritt D.
AU - Yassari, Reza
PY - 2016
Y1 - 2016
N2 - Background: Penetrating spinal cord injuries pose a great challenge to both patients and the treating physicians. Although the overall incidence of penetrating spinal cord injury is the highest in the military, the ubiquity of guns in our society continues to make penetrating spinal cord injury prevalent in the civilian population. These types of injuries are particularly complicated because, beyond the trauma to the neural elements and supporting structures, other organs can be affected and a team approach is required for successful treatment. Case Description: In this report, the authors present a unique case of an ice pick penetrating posteriorly through the spinal canal into the aorta. The described surgical management involved careful consideration and planning to prevent worsening vascular and neurological compromise. Among the challenges faced are neurological compromise, vascular injury, spinal instability, and cerebrospinal fluid leak. Conclusion: To the author′s knowledge, this challenging case represents the first description of a successful removal of a penetrating thoracic spinal foreign body that terminated within the lumen of the thoracic aorta.
AB - Background: Penetrating spinal cord injuries pose a great challenge to both patients and the treating physicians. Although the overall incidence of penetrating spinal cord injury is the highest in the military, the ubiquity of guns in our society continues to make penetrating spinal cord injury prevalent in the civilian population. These types of injuries are particularly complicated because, beyond the trauma to the neural elements and supporting structures, other organs can be affected and a team approach is required for successful treatment. Case Description: In this report, the authors present a unique case of an ice pick penetrating posteriorly through the spinal canal into the aorta. The described surgical management involved careful consideration and planning to prevent worsening vascular and neurological compromise. Among the challenges faced are neurological compromise, vascular injury, spinal instability, and cerebrospinal fluid leak. Conclusion: To the author′s knowledge, this challenging case represents the first description of a successful removal of a penetrating thoracic spinal foreign body that terminated within the lumen of the thoracic aorta.
KW - Aorta
KW - penetrating trauma
KW - thoracic spine
KW - vascular injury
UR - http://www.scopus.com/inward/record.url?scp=85009152952&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85009152952&partnerID=8YFLogxK
U2 - 10.4103/2152-7806.193729
DO - 10.4103/2152-7806.193729
M3 - Article
VL - 7
SP - S763-S766
JO - Surgical Neurology International
JF - Surgical Neurology International
SN - 2152-7806
IS - 29
ER -