Surgical Treatment of Complicated Penetrating Stab Wounds at the Level of C3-C4 Vertebrae

I.H. Gokhfeld, A.N. Likholetov, B.B. Pavlov, H.V. Razumnikov

Abstract


Observation of stab wound by sharp metal object (kitchen knife) of the cervical spine and cervical cord at the level of C3-C4 vertebrae is described. The trajectory of foreign body ente­ring — paravertebrally right to left with destruction of the posterior wall of the spinal canal and half transverse spinal cord injury. The distal part of a sharp object injury caused injury of vertebral vessels on the contralateral side and their tamponade. Neurological manifestations were observed in the form of Brown-Sequard syndrome from a specified level. The patient urgently underwent operation: C3-C4 laminectomy, foreign body removal, sealing of the dural sac by tachocomb. During surgery we have made revision of the spinal canal, brain wound cleaning by antiseptics, hemostasis with tamponade of vertebral vessels in the bone channel by free muscle flap. Postoperatively, worsening of neurological deficit wasn’t detected.


Keywords


non-ballistic wounds; cervical spine and cervical cord; sealing of the dural sac

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DOI: https://doi.org/10.22141/1608-1706.6.15.2014.81823

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