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2005, Number 2

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Trauma 2005; 8 (2)

Instability of C1-C2 secondary to firegun shoot injury

Dufoo OM, Jiménez MR, Muñoz TIA, Palacios ZU, Preciado SMA, García LO, López PJJ, Aburto TJA, Carranco TGA
Full text How to cite this article

Language: Spanish
References: 8
Page: 52-56
PDF size: 83.38 Kb.


Key words:

Ci-C2 instability, firegun shoot, arthrodesis.

ABSTRACT

Traditionally the automovilistic accidents are involved in most of the cervical spine lesions and the firegun shoot injury are the second cause in frequency. Generally this are stable lesions, however there is a possibility to turn into unstable lesions if the shoot goes trough the spinal cord transversally because it fractures pedycules and facets. There is a big discussion about surgical management versus non surgical treatment of this kind of lesions. Method: This case report includes a literature review, a physical examination of the patient and suggestions about the treatment of this kind of lesions. Results: The patient was successfully interviewed on a two steps surgery, on the first step we look the foreign body transorally and in the second time we did a posterior arthrodesis with sublaminar wiring and bone autology injert.


REFERENCES

  1. Waters R, Ien HS. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Rel Res 2003; 408: 120-125.

  2. Levine AM. Spine Trauma. WB Saunders Company, 1998.

  3. Aarabi B. 1996; 39(6): 1133-1140.

  4. Corrado S, Cocito L, Pisan R. Delayed effects of a migrated foreign body (Sewing needle) in the cervical spine. Spine 2001; 26(5): 578-579.

  5. Simpson RK, Venger BH, Narayan RK. Treatment of acute penetrating injuries of the spine. A retrospective analysis. J Trauma 1989; 29: 42-46.

  6. Roffi RP, Waters RL, Adkins RH. Gunshot wounds to the spine associated with a perforated viscous. Spine 1989; 14: 808-811.

  7. Bucholz R. Fracturas en el adulto. Marban 5ta ed. 2003.

  8. Dufoo MD et al: Heridas por proyectil de arma de fuego en la columna vertebral. Revista SMO 1998; 12(6): 479-482.




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Trauma. 2005;8