Severe osteomyelitic lesions of the cervical vertebrae developed in two patients after injury of the neck by shell splinters, although the vertebrae had not been damaged by the initial injury. This complication seems to be very uncommon, as no similar cases could be found in the literature of the last 20 years. The possibility of vertebral osteomyelitis should be kept in mind in all injuries of the neck. Early effective treatment, that consists of immobilization and antibiotics, should be started on appearance of first localizing clinical signs and before the radiologic confirmation of the diagnosis.
Altman MM, Joachims HZ. Osteomyelitis of the Cervical Spine After Neck Injuries. Arch Otolaryngol. 1972;96(1):72–75. doi:10.1001/archotol.1972.00770090110016
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