Pediatric case of a penetrating lumbar spinal injury

Childs Nerv Syst. 2024 Feb;40(2):593-596. doi: 10.1007/s00381-023-06180-z. Epub 2023 Oct 19.

Abstract

Purpose: Penetrating spinal injuries are generally extremely rare and are seldom encountered in pediatric patients. The non-compliance of pediatric patients with physical examination can sometimes delay diagnosis and treatment. Here, we present a case of a child who had a fall and suffered penetrating spinal trauma due to a small glass fragment.

Case report: A penetrating foreign body was detected in the lumbar spinal region of a 2-year-old patient with complaints of increased restlessness on physical activity followed by difficulty in walking. The patient was operated on and followed up without any complications in the perioperative and late postoperative periods.

Conclusion: A detailed physical examination is necessitated in the pediatric age group because of insufficient anamnesis. The high number of patients per physician, especially in societies having a low socioeconomic standard, prevents detailed examinations, and unnecessary examinations may cause delays in diagnosis. However, one must note that the skin findings of pediatric patients can be very helpful, especially in pediatric neurosurgery, and examination should not be neglected.

Keywords: Penetrating spinal injury; Spinal cord injury; Spinal trauma with foreign body.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Child, Preschool
  • Foreign Bodies* / complications
  • Foreign Bodies* / diagnostic imaging
  • Foreign Bodies* / surgery
  • Humans
  • Spinal Cord Injuries* / complications
  • Spinal Injuries* / diagnostic imaging
  • Spinal Injuries* / surgery
  • Wounds, Penetrating* / complications
  • Wounds, Penetrating* / diagnostic imaging
  • Wounds, Penetrating* / surgery