Résumé

Study design: Case report and literature review. Objective: To present a rare location of a penetrating spinal injury and review the literature. Background: Penetrating spinal injuries are rare outside the context of gunshot wounds and are particularly uncommon at the sacrum. Few cases have been reported, and management is not standardized. Methodology: A 22-year-old man was stabbed in the lower back with a screwdriver during a brawl. He presented with part of the screwdriver retained and was neurologically intact. Plain radiographs showed a radiopaque shaft embedded in the S3 body. After skin preparation, the screwdriver was removed under local anaesthesia and the entry wound was sutured. He received tetanus prophylaxis and intravenous followed by oral antibiotic prophylaxis. Results: The patient was discharged after 24 hours of observation without complications. His neurological examination remained normal throughout follow-up. Conclusion: Based on sacral anatomy and the literature, direct removal without open surgical exploration may be considered when there are no neurological deficits, cerebrospinal fluid leakage, local infection or a completely subcutaneous retained foreign body.

Mot-clés :

Penetrating Injury; Sacrum; Case Report