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Related Concept Videos

Articulations of the Vertebral Column01:28

Articulations of the Vertebral Column

In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
Arteries of the Head and Neck01:26

Arteries of the Head and Neck

The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...

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Updated: Jun 20, 2026

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor
07:28

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor

Published on: July 24, 2012

Arrow trauma to cervical spine.

Gregory Geissinger1, Gail A Magid, Robert C McMahon

  • 1Department of Neurosurgery, Marshfield Clinic and St. Joseph's Hospital, Marshfield, Wis, USA. geissinger.gregory@marshfieldclinic.org

WMJ : Official Publication of the State Medical Society of Wisconsin
|September 17, 2009
PubMed
Summary

A hunter survived a severe cervical spine injury from an accidental arrow wound. Proper pre-hospital care and adherence to established protocols were crucial for his successful recovery and return to work.

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Synergetic Use of Neural Precursor Cells and Self-assembling Peptides in Experimental Cervical Spinal Cord Injury
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Published on: February 23, 2015

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Last Updated: Jun 20, 2026

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor
07:28

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor

Published on: July 24, 2012

Synergetic Use of Neural Precursor Cells and Self-assembling Peptides in Experimental Cervical Spinal Cord Injury
11:57

Synergetic Use of Neural Precursor Cells and Self-assembling Peptides in Experimental Cervical Spinal Cord Injury

Published on: February 23, 2015

Area of Science:

  • Trauma Surgery
  • Emergency Medicine
  • Neurosurgery

Background:

  • Accidental penetrating trauma to the neck is rare but can result in severe neurological deficits.
  • Prompt and appropriate management is critical for patient outcomes in complex cervical spine injuries.

Observation:

  • A 50-year-old male sustained a penetrating cervical spine injury from an arrow during a hunting accident.
  • The arrow lodged between the C1/C2 vertebrae, requiring specialized pre-hospital stabilization and surgical removal.
  • The patient maintained self-immobilization initially, followed by meticulous manual immobilization by emergency medical technicians.

Findings:

  • Successful surgical removal of the arrow was achieved at a trauma center.
  • The patient underwent extensive physical and occupational therapy for approximately 12 months.
  • Full-time return to work was achieved, highlighting the effectiveness of the management strategy.

Implications:

  • This case underscores the importance of specialized pre-hospital care and transport protocols for patients with penetrating cervical spine injuries.
  • Adherence to established techniques in patient transfer and positioning is vital for preventing further neurological damage.
  • Multidisciplinary rehabilitation is essential for optimizing functional recovery after severe spinal trauma.