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

Authors

  • I.H. Gokhfeld Research Institute of Traumatology and Orthopedics of Donetsk National Medical University named after M. Horkyi, Municipal Clinical Medical Healthcare Facility «Regional Clinical Trauma Hospital», Donetsk
  • A.N. Likholetov Research Institute of Traumatology and Orthopedics of Donetsk National Medical University named after M. Horkyi, Municipal Clinical Medical Healthcare Facility «Regional Clinical Trauma Hospital», Donetsk
  • B.B. Pavlov Research Institute of Traumatology and Orthopedics of Donetsk National Medical University named after M. Horkyi, Municipal Clinical Medical Healthcare Facility «Regional Clinical Trauma Hospital», Donetsk
  • H.V. Razumnikov Municipal Healthcare Institution «Dobropillya Intensive Care Hospital», Donetsk Region, Ukraine

DOI:

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

Keywords:

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

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.

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Published

2014-11-01

How to Cite

Gokhfeld, I., Likholetov, A., Pavlov, B., & Razumnikov, H. (2014). Surgical Treatment of Complicated Penetrating Stab Wounds at the Level of C3-C4 Vertebrae. TRAUMA, 15(6), 84–87. https://doi.org/10.22141/1608-1706.6.15.2014.81823

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To Practitioner