{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:28:32Z","timestamp":1787754512261,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report a case of a 65-year-old man attempting suicide through anterior neck stabbing with an ice pick. Computed tomography showed spinal canal penetration at C4\u20135 near the midline, sparing the trachea, esophagus, and major vessels. The foreign body was removed under general anesthesia; cerebrospinal fluid leakage was noted, and the wound was tightly closed with a fibrin-based sealant. No motor or sensory deficits were present preoperatively or postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case shows that penetrating cervical spinal canal injuries may occur without neurological impairment. Careful extraction under general anesthesia, ideally with neuromonitoring, is recommended to minimize complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00508","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T19:00:28Z","timestamp":1767898828000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Penetrating Cervical Spine Injury without Spinal Cord Damage"],"prefix":"10.2106","volume":"16","author":[{"given":"Yuki","family":"Akaike","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan"},{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3903-1122","authenticated-orcid":false,"given":"Soya","family":"Kawabata","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2746-5732","authenticated-orcid":false,"given":"Takaya","family":"Imai","sequence":"additional","affiliation":[{"name":"Department of Spine and Spinal Cord Surgery, School of Medicine, Fujita Health University, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Spine and Spinal Cord Surgery, School of Medicine, Fujita Health University, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinjiro","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Department of Spine and Spinal Cord Surgery, School of Medicine, Fujita Health University, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8658-2088","authenticated-orcid":false,"given":"Nobuyuki","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"key":"bib1-20260108","doi-asserted-by":"crossref","first-page":"108629","DOI":"10.1016\/j.clineuro.2024.108629","article-title":"Stabbing injury of the spinal cord: a case report and systematic literature review","volume":"247","author":"Szymoniuk","year":"2024","journal-title":"Clin Neurol Neurosurg."},{"issue":"26","key":"bib2-20260108","first-page":"961","article-title":"A review of 450 stabwounds of the spinal cord","volume":"51","author":"Peacock","year":"1977","journal-title":"S Afr Med J."},{"issue":"7","key":"bib3-20260108","doi-asserted-by":"crossref","first-page":"328","DOI":"10.2176\/nmc.47.328","article-title":"Penetrating injury of the upper cervical spine by a chopstick\u2014case report","volume":"47","author":"Yamaguchi","year":"2007","journal-title":"Neurol Med Chir (Tokyo)."},{"issue":"3","key":"bib4-20260108","doi-asserted-by":"crossref","first-page":"2488","DOI":"10.1007\/s12070-023-03737-x","article-title":"Management of an unusual penetrating neck injury with an iron rod in a tertiary care centre","volume":"75","author":"Deb","year":"2023","journal-title":"Indian J Otolaryngol Head Neck Surg."},{"issue":"14","key":"bib5-20260108","doi-asserted-by":"crossref","first-page":"CASE2219","DOI":"10.3171\/CASE2219","article-title":"Through-and-through stab wound of the cervical spinal canal with retained weapon but no neurological repercussions: an exceptionally rare injury and the case for direct withdrawal. Illustrative case","volume":"3","author":"Parsons","year":"2022","journal-title":"J Neurosurg Case Lessons."},{"issue":"suppl 42","key":"bib6-20260108","first-page":"S1096","article-title":"Stab wound to the intramedullary spinal cord: presurgical and surgical management options for a retained blade to optimize neurological preservation","volume":"7","author":"Agarwal","year":"2016","journal-title":"Surg Neurol Int."},{"key":"bib7-20260108","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.jocn.2019.06.018","article-title":"Non missile penetrating spinal injury","volume":"67","author":"Yoon","year":"2019","journal-title":"J Clin Neurosci."},{"issue":"8","key":"bib8-20260108","doi-asserted-by":"crossref","first-page":"2239","DOI":"10.1002\/wjs.12685","article-title":"Selective conservatism in the management of spinal stab wounds remains Applicable-A critical review of 169 patients managed at a major trauma Center in South Africa","volume":"49","author":"He","year":"2025","journal-title":"World J Surg."},{"issue":"7","key":"bib10-20260108","first-page":"e88046","article-title":"The narrow escape from ice pick penetration sparing neck's vital structures: a case report","volume":"17","author":"Kumar","year":"2025","journal-title":"Cureus."},{"key":"bib11-20260108","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ncl.2012.09.009","article-title":"The spinal cord: a review of functional neuroanatomy","volume":"31","author":"Bican","year":"2013","journal-title":"Neurol Clin."},{"key":"bib12-20260108","doi-asserted-by":"crossref","first-page":"2281","DOI":"10.1007\/s00701-012-1361-x","article-title":"The denticulate ligament: a review of its anatomy and clinical significance","volume":"154","author":"Ceylan","year":"2012","journal-title":"Acta Neurochir (Wien)."},{"issue":"4","key":"bib13-20260108","doi-asserted-by":"crossref","first-page":"809","DOI":"10.14245\/ns.2040490.245","article-title":"Outcomes of spinal cord injury: WFNS spine committee recommendations","volume":"17","author":"Parthiban","year":"2020","journal-title":"Neurospine."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:28:35Z","timestamp":1787750915000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00508"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00508","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}