Retained Metallic Part of a Dislodged Knife in the Thoracic Spine with Paraparesis

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Author Info

Fateha Yasmin Antara Dey A Khan MSH Morshed MMH Khan MN Sarkar S

Corresponding Author

Fateha Yasmin Antara
Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh

A B S T R A C T

The incidence of traumatic spinal cord injury is reported as 30-40 million per year. Among these, stab wounds to the spinal canal are usually rare. These injuries often lead to complete or incomplete neurological deficits. An appropriate management can ensure good functional recovery for approximately two-third of the patient. As these cases are uncommon, their treatment protocols are still controversial and under evaluation. Some literatures reveal various surgical approaches. Spinal canal injury with retained part of the causative agent (knife, bullet, glass etc.) or any other complication on the wound site demands immediate surgical exploration. Here we report on a patient with a retained metallic foreign body (tip of knife) in the thoracic region traversing the left pedicle of sixth thoracic vertebrae along with spinal canal with paraparesis and after neuro-surgical exploration and complete removal of the foreign body, patient shows gradual improvement of neuro-functional status. Proper wound care and long term close follow up was ensured during post operative period.

Article Info

Article Type

Case Report and Review of the Literature

Publication history

Received: Fri 23, Sep 2022
Accepted: Thu 06, Oct 2022
Published: Thu 20, Oct 2022

Copyright

© 2023 Fateha Yasmin Antara. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2022.10.04