A Rare Spinal Injury Gunshot Wound to The Odontoid Process
Tarih
2019Yazar
Bayram, Serkan
Ozmen, Emre
Akgul, Turgut
Sar, Cuneyt
Üst veri
Tüm öğe kaydını gösterÖzet
Study Design. Case report. Objective. We present a 18-year-old male patient with gunshot injury through right scapular region with the bullet ending up and causing a fracture in the odontoid process. Summary of Background Data. Odontoid fracture owing to gunshot wound is an extremely rare injury. Methods. An 18-year-old male patient was brought to the emergency department with gunshot injury. x-Ray imaging showed retained bullet in the odontoid process. Computed tomography scan showed fracture of the odontoid and body of scapula consistent with the trajectory of the bullet. Owing to a normal neurological examination, conservative follow-up was decided and given a Philadelphia collar. Results. At 2 years' follow-up, patient demonstrated limited axial rotation and flexion/extension. However, no pain and neurologic problem were observed. Conclusion. Odontoid fracture owing to gunshot wound can be treated conservatively; emergency or elective surgical intervention was not necessary. In the follow-up, patient did not demonstrate any signs of neurological impairment or infection.
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