Managing the penetrated traumatic spinal injury by an airgun shot: A case report from Dr. Soetomo Hospital, Surabaya, Indonesia
Keywords:airgun shot, breathing problem, patient, penetrated traumatic spine injury, vertebral body
Penetrated Traumatic Spinal Injury by Airgun Shot are rare events. As a result, handling this case is both, thrilling and challenging. We present a case of a penetrated traumatic spinal injury from an airgun, as well as a summary of the literature on how to treat them. A 9-year-old boy was taken to hospital after being shot in the right side of his front neck with an air rifle. The patient had been shot from a distance with an upfront direction. The patient had no breathing problem but complained of pain during swallowing. The patient was conscious, alert, and oriented. There was no breathing distress. The head and neck Computed Tomography Scan displayed a foreign body with metal-density at the vertebral body of the first thoracal and discontinuity of the esophageal wall. Debridement and exploration surgery have successfully released the bullet. Repair trachea had been performed. Postoperatively, the patient had no complications. We can conclude that a foreign body at the spine, especially in the vertebral body of the cervical, can be effectively and safely released by exploration surgery.
Abad, S., McHenry, I. D., Carter, L. M. and Mitchell, D. A. (2009) ‘Carotid artery injury from an airgun pellet: A case report and review of the literature’, Head and Face Medicine, 5(1), pp. 1–5. doi: 10.1186/1746-160X-5-3.
Blair, J. A., Possley, D. R., Petfield, J. L., Schoenfeld, A. J., Lehman, R. A., Hsu, J. R., & Skeletal Trauma Research Consortium. (2012). Military penetrating spine injuries compared with blunt. The Spine Journal, 12(9), 762-768. https://doi.org/10.1016/j.spinee.2011.10.009
Bigder, M., Zeiler, F. and Berrington, N. (2015) ‘Nail-gun Injury through the Spinal Canal’, The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques, 42(3), pp. 203–204. doi: 10.1017/cjn.2015.17.
Broniatowski, M. and Tucker, H. M. (1986) ‘Penetrating injuries of the neck’, Postgraduate Medicine, 80(1), pp. 155–160. doi: 10.1080/00325481.1986.11699457.
Ceylan, H., McGowan, A. and Stringer, M. D. (2002) ‘Air weapon injuries: A serious and persistent problem’, Archives of Disease in Childhood, 86(4), pp. 234–235. doi: 10.1136/adc.86.4.234.
Connell, R. A., Graham, C. A., & Munro, P. T. (2003). Is spinal immobilisation necessary for all patients sustaining isolated penetrating trauma?. Injury, 34(12), 912-914. https://doi.org/10.1016/S0020-1383(03)00070-6
Chen, C. W., Yang, S. C., Liu, K. T. and Wu, Y. H. (2018) ‘Foreign body in the thoracic spine due to a nail gun penetrating injury A case report’, Medicine (United States), 97(52), pp. 5–7. doi: 10.1097/MD.0000000000013870.
Demetriades, D., Asensio, J. A., Velmahos, G., & Thal, E. (1996). Complex problems in penetrating neck trauma. Surgical Clinics of North America, 76(4), 661-683. https://doi.org/10.1016/S0039-6109(05)70475-8
Gupta, B., Gulati, A. and Gupta, D. (2011) ‘A Rare Presentation of Pellet Injury in the Neck’, ISRN Surgery, 2011, pp. 1–3. doi: 10.5402/2011/306126.
Hachem, L. D., Ahuja, C. S. and Fehlings, M. G. (2017) ‘Assessment and management of acute spinal cord injury: From point of injury to rehabilitation’, The Journal of Spinal Cord Medicine, 40(6), pp. 665–675. doi: 10.1080/10790268.2017.1329076.
Imokawa, H., Tazawa, T., Sugiura, N., Oyake, D. and Yosino, K. (2003) ‘Penetrating neck injuries involving wooden foreign bodies: the role of MRI and the misinterpretation of CT images’, Auris Nasus Larynx, 30, pp. 145–147. doi: 10.1016/S0385-8146(02)00130-X.
Kumar, A., Pandey, P. N., Ghani, A. and Jaiswal, G. (2011) ‘Penetrating spinal injuries and their management’, Journal of Craniovertebral Junction and Spine, 2(2), pp. 57–61. doi: 10.4103/0974-8237.100052.
Marino, R. J., Ditunno Jr, J. F., Donovan, W. H., & Maynard Jr, F. (1999). Neurologic recovery after traumatic spinal cord injury: data from the Model Spinal Cord Injury Systems. Archives of physical medicine and rehabilitation, 80(11), 1391-1396. https://doi.org/10.1016/S0003-9993(99)90249-6
Oliver, M., Inaba, K., Tang, A., Branco, B. C., Barmparas, G., Schnüriger, B., ... & Demetriades, D. (2012). The changing epidemiology of spinal trauma: a 13-year review from a Level I trauma centre. Injury, 43(8), 1296-1300. https://doi.org/10.1016/j.injury.2012.04.021
Paramita, D. P., Adiatmika, I. G. P., Kuswardhani, T., & Mustika, I. W. (2018). Physiological and psychosocial change and the need of health intervention model for elderly. International Journal of Health Sciences, 2(2), 61-67.
Patil, R., Jaiswal, G. and Gupta, T. (2015) ‘Gunshot wound causing complete spinal cord injury without mechanical violation of spinal axis: Case report with review of literature’, Journal of Craniovertebral Junction and Spine, 6(4), p. 149. doi: 10.4103/0974-8237.167855.
Stein, D. M. and Knight, W. A. (2017) ‘Emergency Neurological Life Support: Traumatic Spine Injury’, Neurocritical Care, 27(S1), pp. 170–180. doi: 10.1007/s12028-017-0462-z.
Wilson, J. R., Cadotte, D. W. and Fehlings, M. G. (2012) ‘Clinical predictors of neurological outcome, functional status, and survival after traumatic spinal cord injury: a systematic review’, Journal of Neurosurgery: Spine, 17(Suppl1), pp. 11–26. doi: 10.3171/2012.4.AOSPINE1245.
Yoshioka, K., Kawahara, N., Murakami, H., Demura, S., Matsuda, M., Tomita, K., et al. (2012) ‘A Glass Foreign Body Migrating into the Lumbar Spinal Canal: A Case Report’, Journal of Orthopaedic Surgery, 20(2), pp. 257–259. doi: 10.1177/230949901202000226.
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