Air-gun pellet at C1: a case report and literature review.

Autor:	Alromaih NI; Department of Orthopedic Surgery, King Saud Medical City, Riyadh, Saudi Arabia., Alharbi HN; Department of Orthopedic Surgery, King Saud Medical City, Riyadh, Saudi Arabia., Altwaijri NA; Department of Orthopedic Surgery, King Saud Medical City, Riyadh, Saudi Arabia., Surur SR; Department of Orthopedic Surgery, King Saud Medical City, Riyadh, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Journal of spine surgery (Hong Kong) [J Spine Surg] 2023 Sep 22; Vol. 9 (3), pp. 375-379. Date of Electronic Publication: 2023 Sep 11.
DOI:	10.21037/jss-23-42
Abstrakt:	Background: Air-gun pellet injuries commonly occur in children between the age of 1-18 years old. These injuries could be fetal because it linked to injury to vital organs such as brain, heart, and eyes. In the literature, there are few studies that reported spine injury by air-gun pellet. Our case is a C1 foreign body in a pediatric patient without any neurological deficits after an air-gun injury. Case Description: A 6-year-old boy, known case of Hirschsprung disease presented to the emergency department after an air-gun injury in June 2021. On examination, the patient was hemodynamically stable, and asymptomatic. Neurological exam was intact with power 5/5 in C5-S1 and sensation 2/2 in C5-S1. Computed tomography (CT) of the cervical spine showed a foreign body at C1. After discussing the treatment options with his parents, we treat the patient conservatively by close follow-up and analgesia only. After 1 week, the patient presented to the clinic and the patient was still asymptomatic. A cervical X-ray at that time done and showed no changes in the position from the initial CT. Weekly follow-up was difficult for the family to adhere to due to their socioeconomic status. Therefore, the patient was followed up over the phone call through telemedicine at 6 months and 1 year after the injury. Conclusions: The treatment of these types on injuries is highly controversial. The treatment options could be surgical or non-surgical (conservative) such as antibiotic use. Also, there is always a debate about the choice of the treatment options. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jss.amegroups.com/article/view/10.21037/jss-23-42/coif). The authors have no conflicts of interest to declare. (2023 Journal of Spine Surgery. All rights reserved.)
Databáze:	MEDLINE
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