A Rare Spinal Injury Gunshot Wound to The Odontoid Process

Bayram S., Akgul T., Ozmen E., Sar C.

SPINE, vol.44, no.22, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 44 Issue: 22
  • Publication Date: 2019
  • Doi Number: 10.1097/brs.0000000000003132
  • Journal Name: SPINE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Istanbul University Affiliated: Yes


Study Design. Case report. Objective. We present a 18-year-old male patient with gunshot injury through right scapular region with the bullet ending up and causing a fracture in the odontoid process. Summary of Background Data. Odontoid fracture owing to gunshot wound is an extremely rare injury. Methods. An 18-year-old male patient was brought to the emergency department with gunshot injury. x-Ray imaging showed retained bullet in the odontoid process. Computed tomography scan showed fracture of the odontoid and body of scapula consistent with the trajectory of the bullet. Owing to a normal neurological examination, conservative follow-up was decided and given a Philadelphia collar. Results. At 2 years' follow-up, patient demonstrated limited axial rotation and flexion/extension. However, no pain and neurologic problem were observed. Conclusion. Odontoid fracture owing to gunshot wound can be treated conservatively; emergency or elective surgical intervention was not necessary. In the follow-up, patient did not demonstrate any signs of neurological impairment or infection.