Browse > Article
http://dx.doi.org/10.20408/jti.2021.0082

Endovascular treatment of penetrating nail gun injury of the cervical spine and vertebral artery: a case report  

Christodoulides, Alexei (Department of Neurological Surgery, Indiana University School of Medicine)
Mitchell, Scott (Department of Neurological Surgery, Indiana University School of Medicine)
Bohnstedt, Bradley N. (Department of Neurological Surgery, Indiana University School of Medicine)
Publication Information
Journal of Trauma and Injury / v.35, no.3, 2022 , pp. 223-227 More about this Journal
Abstract
In this report, we present a case of high cervical penetrating trauma with vertebral artery injury and outline preprocedural, procedural, and postprocedural considerations with recommendations for the treatment of similar injuries. Management involves multiple imaging modalities, including X-ray imaging, computed tomography, computed tomography angiography, magnetic resonance imaging, and catheter angiography. We recommend endovascular treatment of these injuries when possible, based on the improved ability to achieve proximal and distal control and manage hemorrhage risk.
Keywords
Vertebral artery; Wounds and injuries; Therapeutic embolization; Cervical vertebrae; Case reports;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Young L, Rule GT, Bocchieri RT, Walilko TJ, Burns JM, Ling G. When physics meets biology: low and high-velocity penetration, blunt impact, and blast injuries to the brain. Front Neurol 2015;6:89.
2 Atar E, Griton I, Bachar GN, Bartal G, Kluger Y, Belenky A. Embolization of transected vertebral arteries in unstable trauma patients. Emerg Radiol 2005;11:291-4.   DOI
3 Fassett DR, Dailey AT, Vaccaro AR. Vertebral artery injuries associated with cervical spine injuries: a review of the literature. J Spinal Disord Tech 2008;21:252-8.   DOI
4 Lipscomb HJ, Schoenfisch AL. Nail gun injuries treated in U.S emergency departments, 2006-2011: not just a worker safety issue. Am J Ind Med 2015;58:880-5.   DOI
5 Centers for Disease Control and Prevention (CDC). Nail-gun injuries treated in emergency departments: United States, 2001-2005. MMWR Morb Mortal Wkly Rep 2007;56:329-32.
6 Litvack ZN, Hunt MA, Weinstein JS, West GA. Self-inflicted nail-gun injury with 12 cranial penetrations and associated cerebral trauma. Case report and review of the literature. J Neurosurg 2006;104:828-34.   DOI
7 Ferraz VR, Aguiar GB, Vitorino-Araujo JL, Badke GL, Veiga JC. Management of a low-energy penetrating brain injury caused by a nail. Case Rep Neurol Med 2016;2016:4371367.
8 Xiang G, Wu Z, Zhao X, Zhao X, Feng Y. Nail gun injury of the spine: case report and review of the literature. World Neurosurg 2019;132:321-5.   DOI
9 Nathoo N, Sarkar A, Varma G, Mendel E. Nail-gun injury of the cervical spine: simple technique for removal of a barbed nail. J Neurosurg Spine 2011;15:60-3.   DOI
10 Herrera DA, Vargas SA, Dublin AB. Endovascular treatment of traumatic injuries of the vertebral artery. AJNR Am J Neuroradiol 2008;29:1585-9.   DOI
11 Fernando D, Ekanayake E. Nail gun suicide: an atypical case report and review of the literature. Am J Forensic Med Pathol 2021;42:267-74.   DOI
12 Bigder M, Zeiler F, Berrington N. Nail-gun injury through the spinal canal. Can J Neurol Sci 2015;42:203-4.   DOI
13 Uchikawa H, Kai Y, Ohmori Y, Kuratsu J. Strategy for endovascular coil embolization of a penetrating vertebral artery injury. Surg Neurol Int 2015;6:117.   DOI
14 Elder T, Tuma F. Bilateral vertebral artery transection following blunt trauma. Int J Surg Case Rep 2018;51:29-32.   DOI
15 Buchalter GM, Johnson LP, Reichman MV, Jacobs J. Penetrating trauma to the head and neck from a nail gun: a unique mechanism of injury. Ear Nose Throat J 2002;81:779-83.   DOI