Penetrating thoracic spinal cord injury caused by a wooden fragment after a ground-level fall: A case report.
Shinichi Ijuin, Naoki Matsunaga, Kano Iwaki et al.
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Case in brief
An elderly man sustained complete paraplegia after a wooden fragment from a shoji screen penetrated his back during a ground-level fall. Imaging revealed the foreign object reaching the spinal canal at T10-11 and T11-12, without vascular damage. After careful extraction and surgical decompression, no neurological improvement was observed, emphasizing the severity of such injuries from low-energy incidents.
Diagnostic / clinical pearl
Clinicians should be aware that penetrating spinal cord injuries can occur from low-energy falls, particularly involving wooden foreign bodies, necessitating prompt imaging and careful management.