James Jojo, Machavarapu Mahesh
Surgery, Tata Main Hospital, Jamshedpur, IND.
General Surgery, Tata Main Hospital, Jamshedpur, IND.
Cureus. 2020 Jul 1;12(7):e8942. doi: 10.7759/cureus.8942.
Pediatric spinal injuries are very uncommon, accounting for a small percentage of all spinal injuries. Domestic accidents such as falling and bumping are frequent events during childhood. In this case report, we present a rare penetrating trauma by a cobbler's awl at the paraspinal level. The patient was referred to the ED after a needle became impaled into his back due to an accident that occurred at home. The patient's neurologic assessment was normal. A radiologic study of the patient showed a cobbler's awl penetrating the paravertebral muscle at the fourth lumbar vertebra level. The needle was removed promptly after an emergency surgical procedure. Postprocedure no complications occurred.
小儿脊柱损伤非常罕见，在所有脊柱损伤中占比很小。诸如跌倒和碰撞等家庭事故在儿童时期很常见。在本病例报告中，我们呈现了一例罕见的鞋匠锥子在椎旁水平造成的穿透性创伤。患者在家中发生事故后，一根针插入其背部，随后被送往急诊室。患者的神经学评估正常。对患者的影像学检查显示，一把鞋匠锥子刺入第四腰椎水平的椎旁肌肉。在紧急手术后，针被迅速取出。术后未发生并发症。
