Unstable cervical spine without spinal cord injury in penetrating neck trauma

被引：14

作者：

Apfelbaum, JD ^{[1
]}

Cantrill, SV ^{[1
]}

Waldman, N ^{[1
]}

机构：

[1] Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 2000年 / 18卷 / 01期

关键词：

cervical spine; gunshot wound; GSW; spinal instability; neurological deficit;

D O I：

10.1016/S0735-6757(00)90049-4

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Cervical spine instability in the neurologically intact patient following penetrating neck trauma has been considered rare or non-existant. We present a case of a woman with an unstable C5 fracture without spinal cord injury after a gunshot wound to the neck. Considerations regarding the risk of cervical spine instability are discussed, as well as suggestions for a prudent approach to such patients. Copyright (C) 2000 by W.B. Saunders Company.

引用

页码：55 / 57

页数：3

共 19 条

[1]

ALEXANDER R, 1993, AM COLL SURG COMMITT, P191

[2] CERVICAL-SPINE IMMOBILIZATION OF PENETRATING NECK WOUNDS IN A HOSTILE ENVIRONMENT [J].

ARISHITA, GI ;

VAYER, JS ;

BELLAMY, RF .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1989, 29 (03) :332-337

[3]

ASENSIO JA, 1991, SURG CLIN N AM, V71, P267

[4] PENETRATING NECK TRAUMA - CONSENSUS AND CONTROVERSIES [J].

CARDUCCI, B ;

LOWE, RA ;

DALSEY, W .

ANNALS OF EMERGENCY MEDICINE, 1986, 15 (02) :208-215

[5]

EGGELMEIJER F, 1993, CLIN EXP RHEUMATOL, V11, P381

[6]

GORDON K, 1991, EMERGENCY MED APPROA, P894

[7] PENETRATING GUNSHOT WOUNDS OF CERVICAL-SPINE IN CIVILIANS - REVIEW OF 38 CASES [J].

HEIDEN, JS ;

WEISS, MH ;

ROSENBERG, AW ;

KURZE, T ;

APUZZO, MLJ .

JOURNAL OF NEUROSURGERY, 1975, 42 (05) :575-579

[8]

Isiklar ZU, 1997, ORTHOPEDICS, V20, P967

[9]

JORDEN RC, 1998, EMERGENCY MED CONCEP, P505

[10] GUNSHOT WOUNDS TO THE CERVICAL-SPINE [J].

KUPCHA, PC ;

AN, HS ;

COTLER, JM .

SPINE, 1990, 15 (10) :1058-1063

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