Abstract
Objective: To report an unusual penetrating stab injury of the spinal cord.
Design: Case report of a 13-year-old boy who sustained cervical trauma following an accident while playing.
Setting: Spinal Cord Injuries Unit, Musgrave Park Hospital, Belfast, UK.
Case report: Mechanism of injury was by a spear-like electric fence post entering the neck. Initial neurological examination revealed tetraplegia with C4 sensory level. Magnetic resonance imaging (MRI) of spinal cord demonstrates the penetrating injury.
Conclusion: No ligamentous instability was demonstrated. In the absence of this, the penetrating injury by a short blade thrown at speed was felt to be responsible for the subsequent injury and resulting outcome at discharge of C4 American Spinal Injury Association (ASIA) grade D tetraplegia.
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References
Waters RL, Adkins RH, Yakura JS . Motor recovery following spinal injury caused by stab wounds: a multicentre study. Paraplegia 1995; 33: 98–101.
Peacock WS, Shrosbee RB, Key AD . A review of 450 stab wounds of the spinal cord. S Afr Med J 1997; 51: 961–964.
Maynard FM Jr, Bracken MB, Creasey G, Ditunno JF Jr, Donovan WH, Ducker TB . International standards for neurological and functional classification of spinal cord injury. Spinal Cord 1997; 35: 266–274.
Mahoney FI, Barthel DW . Functional evaluation: Barthel Index. Md State Med J 1965; 14: 61–65.
Bosch PP, Vogt MT, Ward WT . Pediatric Spinal Cord Injury Without Radiological Abnormality (SCIWORA). The Absence of occult instability and lack of indication for bracing. Spine 2002; 27(24): 2788–2800.
McCarron MO, Flynn PA, Pang KA, Hawkins SA . Traumatic Brown–Séquard-Plus syndrome. Arch Neurol 2001; 58: 1470–1472.
Rubin G, Tallman D, Sagan L, Melgar M . An unusual stab wound of the cervical spinal cord. Spine 2001; 26(4): 444–447.
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O'Neill, S., McKinstry, C. & Maguire, S. Unusual stab injury of the spinal cord. Spinal Cord 42, 429–430 (2004). https://doi.org/10.1038/sj.sc.3101602
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DOI: https://doi.org/10.1038/sj.sc.3101602