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  4. Traumatic spinal cord injury caused by a dagger in the spine: A case report

Traumatic spinal cord injury caused by a dagger in the spine: A case report

ibrain, 2022 · DOI: 10.1002/ibra.12031 · Published: March 7, 2022

Spinal Cord InjurySurgeryResearch Methodology & Design

Simple Explanation

This is a case report about a 36-year-old male who sustained a spinal cord injury (SCI) after being attacked with a dagger. The dagger pierced into the T9 vertebral body and spinal canal, causing neurological deficits. The patient underwent surgery to remove the dagger and decompress the spinal cord. Postoperative care included anti-infection measures, nerve nourishment, metabolism improvement, rehabilitation training, and hyperbaric oxygen therapy. The patient's physical condition and neural function gradually improved.

Study Duration
Not specified
Participants
One 36-year-old male
Evidence Level
Level 4: Case Report

Key Findings

  • 1
    Acute traumatic SCI combined with foreign matter retention is rare.
  • 2
    Surgical intervention, including removal of foreign matter and decompression, is essential for neurological function recovery.
  • 3
    Methylprednisolone administration can benefit patients with SCI.

Research Summary

This case report describes the presentation, management, and outcome of a patient with a traumatic spinal cord injury caused by a dagger. The patient underwent surgical removal of the dagger and spinal cord decompression, followed by postoperative rehabilitation. The patient's neurological function improved significantly after the surgery and rehabilitation, highlighting the importance of prompt surgical intervention and comprehensive postoperative care.

Practical Implications

Prehospital transport considerations

Avoid flexion and torsion during transport to prevent further spinal cord damage.

Imaging modalities

CT scans are crucial for localizing the foreign object, but MRI should be used cautiously due to the risk of secondary damage from metallic objects.

Surgical intervention

Prompt surgical intervention is essential to remove foreign objects, decompress the spinal cord, and prevent infection.

Study Limitations

  • 1
    Single case report limits generalizability.
  • 2
    Lack of long-term follow-up data.
  • 3
    Limited details on specific rehabilitation protocols.

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