- Department of Neurosurgery, Hassan II Hospital, University Medical School Sidi Mohamed Ben Abdellah, Fez, Morocco.
Oualid Mohammed Hmamouche, Department of Neurosurgery, CHU HASSAN II, Fes, Morocco.
DOI:10.25259/SNI_51_2023Copyright: © 2023 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Oualid Mohammed Hmamouche1, Faycal Lakhdar1, Mohammed Benzagmout1, Khalid Chakour1, Mohammed El Faiz Chaoui1. Stab injury to the lumbar spine without neurological involvement in a child. 07-Apr-2023;14:129
How to cite this URL: Oualid Mohammed Hmamouche1, Faycal Lakhdar1, Mohammed Benzagmout1, Khalid Chakour1, Mohammed El Faiz Chaoui1. Stab injury to the lumbar spine without neurological involvement in a child. 07-Apr-2023;14:129. Available from: https://surgicalneurologyint.com/surgicalint-articles/12240/
Background: Stab wound injuries are extraordinary in the child, the thoracic and lumbar spine are the most observed. Patient could be asymptomatic and it could lead to a neurological deficit.
Case Description: We report a case of a 15-year-old boy victim of a stab wound injury with a knife. He was neurologically intact but the local examination showed blood and clear fluid. The patient underwent surgery and the knife was removed with the reparation of a dural tear.
Conclusion: Stab wound injuries in child are very rare, the management is clear if there is compression, bleeding or cerebrospinal fluid leakage, and the prognosis depends on the symptoms.
Keywords: Childhood, Knife, Lumbar spine, Spinal cord injury, Stab injury
Stab wound injuries are very rare; they are most commonly inflicted with knives.
In children, only some cases have been described in the literature. Such injuries are often accompanied by some neurologic symptoms. The thoracic and lumbar spine was the most observed.
A 15-year-old boy was admitted to the Emergency with a stab-wound injury from a knife in the lumbar region [
The general examination was normal and the neurological examination did not show any deficit. Local examination showed blood and clear fluid suggestive of cerebrospinal fluid (CSF).
Spinal lateral radiographs [
The patient underwent surgery. The stab wound was included in the incision [
The patient recovered well without any complications.
They are associated with a high percentage of neurological deficit,[
A detailed neurological examination should be done, as well as the realization of standard X-rays and a CT-scan with reconstruction.
The optimal management of penetrating spinal injuries is controversial. Some authors advocate surgery for decompression of the spinal cord by a foreign body or bleeding, to avoid CSF leakage and unstable injuries.[
If the surgical indication is retained, the surgery must be performed as early as possible to avoid infectious complications.
Stab wound injuries in child are very rare. The management is clear if there is compression, bleeding or CSF leakage. The prognosis is good if there are no neurological symptoms.
The authors certify that they have obtained all appropriate patient consent.
Publication of this article was made possible by the James I. and Carolyn R. Ausman Educational Foundation.
There are no conflicts of interest.
The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Journal or its management. The information contained in this article should not be considered to be medical advice; patients should consult their own physicians for advice as to their specific medical needs.
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