脊柱枪伤的不寻常病例

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2024-10-01 DOI:10.1016/j.jcot.2024.102558

Vinod V. Rajan , Chandhan Murugan

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引用次数: 0

摘要

一名 18 岁的男性因右胸中枪而被送来。右胸进气减少，患者的神经系统为 AIS A 级。然而，脊柱的平片检查结果正常。胸部 CT 显示了子弹的轨迹，子弹从 T7 右侧神经孔射入，横断了脊髓，从左侧神经孔射出，骨韧带破坏极小。患者接受了保守治疗，呼吸功能恢复后接受了康复治疗。这是首例描述低速枪伤导致脊髓损伤而无明显骨韧带破坏的报告。

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An unusual case of gunshot injury to the spine

An eighteen-year-old male was brought with a gunshot to the right thorax. There was reduced air entry on the right chest, and the patient had AIS A neurology. However, plain radiographs of the spine were normal. CT of the chest revealed the trajectory of the bullet, which entered through the T7 right neural foramen, transected the cord, and exited the left foramen with minimal osteoligamentous disruption. The patient was managed conservatively, and once his respiratory function recovered, he underwent rehabilitation. This is the first report describing a low-velocity gunshot injury, causing cord injury without significant osteoligamentous disruption.

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.