Retained Metallic Part of a Dislodged Knife in the Thoracic Spine with Paraparesis

The incidence of traumatic spinal cord injury is reported as 30-40 million per year. Among these, stab wounds to the canal are usually rare. These injuries often lead complete or incomplete neurological deficits. An appropriate management can ensure good functional recovery for approximately two-third patient. As these cases uncommon, their treatment protocols still controversial and under evaluation. Some literatures reveal various surgical approaches. Spinal with retained part causative agent (knife, bullet, glass etc.) any other complication on wound site demands immediate exploration. Here we report a patient metallic foreign body (tip knife) in thoracic region traversing left pedicle sixth vertebrae along paraparesis after neuro-surgical exploration removal body, shows gradual improvement neuro-functional status. Proper care long term close follow up was ensured during post operative period.