Penetrating Trauma Of The Spine With Cutter And Surgical
Management
FATİH ERDİ, FATİH KESKİN, ERDİNÇ KURTOĞLU, TEVFİK KÜÇÜKKARTALLAR, GÖKHAN TOĞUŞLU
- Year : 2016
- Vol : 32
- Issue : 3
- Page :
67-69
Penetrating trauma of the spine can be rarely seen. A 28 year
old male patient admitted to our emergency clinic with cutter injury. A
two-centimeter skin incision was determined at the patient’s lumbar
region. Neurological examination was with in the normal range. A
metallic cutter tip was seen at the lumbar tomography and lumbar
plain radiograph at the level of L1 corpus and L1-2 disc space. The
patient operated at emergency settings. Under general anesthesia
the patient was taken into left side lateral decubitus position.
Previous skin incision enlarged to the anterolateral direction.
Surgical dissection was advanced to the anterolateral direction from
posterior aspect. Left L1 and L2 processus transversus was reached.
Then the cutter tip was seen at the L1 corpus and L1-2 disc space
just lateral from the nevre root. The cutter tip was withdrawn slowly
without laminectomy. The main goal of the surgical treatment for
neurologically intact patients with penetrating injuries is to remove
the foreign object with minimal damage to the patient in the light
of radiological studies. The foreign object should be removed from
the spine because late neurological deficits can be seen in these
patients.
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None of the authors, any product mentioned in this article,
does not have a material interest in the device or drug. Research,
not supported by any external organization.
grant full access to the primary data and, if requested by the magazine
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Penetrating Trauma Of The Spine With Cutter And Surgical
Management
2016,
Vol.
32
(3)
Received : 22.01.2014,
Accepted : 22.01.2014,
Published Online : 13.08.2018
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ISSN:1017-6616;
E-ISSN:2149-8059;