Rodríguez-Carreón P, Saavedra-Milán B, Fuentes-Mallozzi DA, Marroquín-Villarreal JL, Plascencia-Valadéz V, Tobías-Pérez E

Language: Spanish
References: 11
Page: 100-103
PDF size: 222.51 Kb.

ABSTRACT

Introduction: Due to the increase in violence in the country, pediatric hospitals have more and more admissions for gunshot wounds in various parts of the human body, among which is the spine. The spinal injury complete product of firearm wound in the spine is a rare situation, so we present the case of a female teenager. Case report: A female of 12 years of age, who was injured by firearm indirectly at the thoracic level while playing in the yard of her house, immediately losing sensitivity and movement of lower extremities, is admitted to the Children’s Hospital of Tamaulipas where she confirms the presence of a firearm projectile at level T7. The patient is diagnosed with complete injury and paraplegia with no chance of recovery. Discussion: Thoracic spine injuries due to a firearm projectile are uncommon events in the pediatric population and generally present with catastrophic outcomes at the neurological level if the spinal cord is affected. The multidisciplinary management could limit the complications inherent in these injuries; however the quality of life is affected due to these sequels. It is necessary to establish new public security policies to regulate the use of firearms in the country.

REFERENCES

1. Tejeda-Barreras M. Heridas de arma de fuego en la columna vertebral. Ortho-tips. 2011; 7 (3-4): 155-161.

2. INEGI.http://www.inegi.org.mx/saladeprensa/boletines/2017/ homicidios/homicidios2017_07.pdf. [Accesado el 30 de agosto de 2018].

3. Hernández-Téllez IE, Montelongo-Mercado EA, Arreola- BastidasJJ et al. Heridas por proyectil de arma de fuego en la columna vertebral en el Hospital Central Militar de México. Columna. 2016; 15 (2): 134-139.

4. Jiménez-Avila JM, Cobar-Bustamante AE, Cahueque-Lemus MA et al. Firearm injuries in the spine. Effective strategy for diagnosis and treatment. Columna. 2015; 14 (3): 240-243.

5. Romero-Arroyo AC, Ramírez-Morales G. Lesiones de columna vertebral y médula espinal en pediatría. Rev Mex Ortop Ped. 2008; 1: 14-19.

6. Sánchez-Chávez FA, Cabrera-Escamilla JA. Fracturas torácicas y lumbares en los adolescentes. Estudio de ocho años. Gac Med Mex. 2017; 153: 672-676.

7. Jaiswal M, Shyam Mitta R. Concept of Gunshot Wound Spine. Asian Spine J. 2013; 7 (4): 359-364.

8. De Barros Filho TEP, Cristante AF, Marcon RM et al. Gunshot injuries in the spine. Spinal Cord. 2014; 52: 504-510.

9. Kalkan E, Keskin F, Cengiz SL, Baysefer A. A case report of firearm bulletsettling into the thoracic spinal canal without causing neurologic deficit or vertebral bone destruction. Arch Orthop Trauma Surg. 2007; 127: 637-641.

10. Hossin J, Joorabian M, Pipelzadah M. A firearm bullet lodged into the thoracic spinal canal without vertebral bone destruction: a case report A firearm bullet lodged into the thoracic spinal canal without vertebral bone destruction: a case report. J Med Case Reports. 2011, 5: 289.

11. Louwes TM, Ward WH, Lee KH, Freedman BA. Combat-related intradural gunshot wound to the thoracic spine: significant improvement and neurologic recovery following bullet removal. Asian Spine J. 2015; 9 (1): 127-132.