{"title":"An unusual case of gunshot injury to the spine","authors":"Vinod V. Rajan , Chandhan Murugan","doi":"10.1016/j.jcot.2024.102558","DOIUrl":null,"url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102558"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Orthopaedics and Trauma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0976566224002273","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
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.
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.