A Rare Spinal Injury: Gunshot Wound to The Odontoid Process
| Autor: | Cuneyt Sar, Serkan Bayram, Turgut Akgül, Emre Özmen |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Neurological examination Conservative Treatment 03 medical and health sciences 0302 clinical medicine Scapula Odontoid Process medicine Humans Orthopedics and Sports Medicine Spinal injury Odontoid process 030222 orthopedics medicine.diagnostic_test business.industry Emergency department medicine.disease humanities Surgery body regions Right scapular region Spinal Injuries Wounds Gunshot Neurology (clinical) Gunshot wound business Tomography X-Ray Computed Neurological impairment 030217 neurology & neurosurgery |
| Zdroj: | Spine. 44(22) |
| ISSN: | 1528-1159 |
| Popis: | Study design Case report. Objective We present a 18-year-old male patient with gunshot injury through right scapular region with the bullet ending up and causing a fracture in the odontoid process. Summary of background data Odontoid fracture owing to gunshot wound is an extremely rare injury. Methods An 18-year-old male patient was brought to the emergency department with gunshot injury. x-Ray imaging showed retained bullet in the odontoid process. Computed tomography scan showed fracture of the odontoid and body of scapula consistent with the trajectory of the bullet. Owing to a normal neurological examination, conservative follow-up was decided and given a Philadelphia collar. Results At 2 years' follow-up, patient demonstrated limited axial rotation and flexion/extension. However, no pain and neurologic problem were observed. Conclusion Odontoid fracture owing to gunshot wound can be treated conservatively; emergency or elective surgical intervention was not necessary. In the follow-up, patient did not demonstrate any signs of neurological impairment or infection. Level of evidence 5. |
| Databáze: | OpenAIRE |
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