Case Series
Volume 5 Issue 5 - 2021
Results of Management of Penetrating injuries of the Spine in Northern Nigeria: A Case Series
Shobode MA*, Ekundayo OO, Abubakar K, Oyenusi AS, Waheed TA, Abubakar MK, Ibraheem GH and Onuminya JE
National Orthopaedic Hospitals, Dala, Kano, Nigeria
*Corresponding Author: Shobode MA, Spine Surgery Unit, Department of Clinical Services, National Orthopaedic Hospital, Dala, Kano, Nigeria.
Received: March 26, 2021; Published: April 30, 2021




Abstract

Background: Missile and non- missile penetrating injuries of the spine are rare. We present a case series of 3 patients managed at our facility with penetrating injuries of the spine in the last 5 years.

Objective: To highlight the need for urgent surgical intervention in patients with worsening neurological signs following penetrating injuries to the spine.

Materials and Methods: Three patients presented within the study period (January 2016 to January 2021). There were 2 males and 1 female. Orthogonal plain radiograph was sufficient to define the location and level of injury. The injuring objects were made of ferromagnetic materials so none of the patients had an MRI scan pre-operatively. CT myelography was also not done as none of the patients could afford it. ASIA Impairment Scale was used as outcome measures.

Results: 1 had a missile injury (arrow) while 2 had non missile penetrating injuries (knife and scissors). All three had neurological impairment and presenting in spinal shock. The sub-axial cervical spine and the thoracolumbar spine were affected. All presented within 24 hours of injury. All three had emergency surgical retrieval of the injuring objects with one post-operative death from complications of aspiration pneumonitis recorded. The remaining two had significant post-operative neurological recovery and discharged home as ASIA D.

Conclusions: Penetrating injuries with neurologic impairment are rare. Early surgical intervention with retrieval of the impaling objects is recommended.

Keywords: Penetrating Injury; Missile/Non Missile Injury; Spinal Cord

References

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Citation: Shobode MA., et al. “Results of Management of Penetrating injuries of the Spine in Northern Nigeria: A Case Series”. EC Emergency Medicine and Critical Care 5.5 (2021): 93-103.

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