Article Text

Traumatic Pneumorrhachis
  1. Maj Andrew Haldane, RAMC, Specialty Registrar in Anaesthesia1
  1. 1Worcestershire Royal Hospital
  1. c/o AMDSU, FASC, Slim Road, Camberley, GU15 4NP 07958 739 437 aghaldane1{at}


Pneumorrhachis or intraspinal air is an increasingly encountered phenomenon in the management of severe trauma. The case of a 23-year-old soldier, who sustained a gunshot wound to the chest, is presented and the subsequent discussion illustrates that while often benign this phenomenon may indicate serious occult injury.

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