Gunshot wounds to the spine: study of 246 patients

Filho, Hildo Rocha Cirne de Azevedo

doi:10.1590/s0004-282x2001000400034

Cited by 10 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Indeed, it was associated with higher rates of CSF leak and meningitis. 2 Waters and Atkins 51 reported statistically significant motor improvement after surgical decompression from T12 to L4 levels compared with nonoperatively treated spines. However, they considered only patients with bullets lodged within the spinal canal.…”

Section: Victims With Neurologic Deficitmentioning

confidence: 97%

See 1 more Smart Citation

Treatment of Civilian Gunshot Wounds of the Spine

Heary¹,

Kumar

2006

Techniques in Orthopaedics

View full text Add to dashboard Cite

Gunshot wounds (GSWs) commonly result from low-velocity weapons in civilians but there is an increasing trend for high velocity GSWs. The initial focus of the gunshot victims must address all life threatening injuries. Maintenance of airway, breathing and circulation (ABC) are the most important. Tetanus prophylaxis is routinely indicated for all gunshot injuries. Steroids have no proven role in the treatment of GSWs and should be avoided. Surgery also plays very little role in the treatment of low velocity GSWs. It is very unlikely to improve the neurologic status of the patient. Surgery for spinal cord injuries resulting from low velocity GSWs are reserved for patients with progressive neurologic deterioration, persistent cerebrospinal fluid (CSF) fistulae, and sometimes for incomplete spinal cord injuries. Surgery for spinal cord injury victims may also be indicated to relieve active neural compression from a bullet, bone, intervertebral disk, or a hematoma within the spinal canal. Spinal instability rarely results from a civilian GSW. Cauda equina injuries from low velocity GSWs have better overall improvement when compared with spinal cord injuries. As such, spine surgery in these cases, which are actually peripheral nerve injuries rather than spinal cord injuries, may have a favorable result on the long-term neurologic outcome. The decision to perform surgery should be made on individualized basis.

show abstract

Section: Victims With Neurologic Deficitmentioning

confidence: 97%

“…Yashon et al 56 operated on 80% of their patients during the first 24 hours after the trauma while Azevedo-Filho et al 2 operated on only 16.9% in that timeframe. Significant higher rates of infection were reported if decompression and laminectomy of lumbar spine was done after 2 weeks from injury.…”

Section: Victims With Neurologic Deficitmentioning

confidence: 99%

Treatment of Civilian Gunshot Wounds of the Spine

Heary¹,

Kumar

2006

Techniques in Orthopaedics

View full text Add to dashboard Cite

show abstract

“…2 These victims are usually young people under the age of 30 years, male and of low socioeconomic status, and many suffer from neurological deficits because of the spinal cord lesions. 1-4, 11,12,16 As noted, most patients are male, with the frequency of male victims of GSW in the spine varying from 78 to 94% in the literature (Table 2). 3,11,[17][18][19] Most patients with GSW in the spine have complete spinal cord injury.…”

Section: Introductionmentioning

confidence: 97%

“…24 The period of follow-up to consider the functional status as definitive is a matter of controversy in the literature, varying from 2 weeks to 6 months. 16,19,[24][25][26][27] Mortality in patients suffering from GSW increases with the severity of neurological deficit. 16…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gunshot injuries in the spine

et al. 2014

View full text Add to dashboard Cite

show abstract

Epidemiologia do traumatismo raquimedular por projéteis de armas de fogo em um hospital de referência no estado do Pará

Pereira

Gomes

Rodrigues³

2015

Arq Bras Neurocir

View full text Add to dashboard Cite

Palavras-chave ► traumatismos da medula espinhal ► ferimentos penetrantes ► medula espinhal ► epidemiologia Resumo Objetivo O presente trabalho objetivou descrever os aspectos clínicos e epidemiológicos do traumatismo raquimedular causado por ferimentos de armas de fogo em pacientes internados no Hospital Metropolitano de Urgências e Emergências, em Belém/PA, no período de janeiro de 2008 a dezembro de 2013. Método Estudo transversal, retrospectivo e descritivo, com base na análise de prontuários de 89 pacientes vítimas de trauma raquimedular por ferimento por arma de fogo, de acordo com os dados obtidos no setor de registro hospitalar. Resultados Os traumas decorrentes de projéteis de armas de fogo foram responsá-veis por 9,2% dos traumas raquimedulares, apresentando uma média de 14,8 novos casos por ano; 86,5% destes eram pacientes do sexo masculino, 73,1% apresentavam menos de 30 anos. O segmento cervical foi o mais acometido (46%) e 51,8% dos pacientes foram classificados como ASIA A. A maior parte foi tratada conservadoramente (75,3%) e 56,2% dos pacientes evoluíram com alguma complicação durante a internação, sendo mais prevalentes as complicações infecciosas (45%). A taxa de óbito foi de 18%. Conclusão O trauma raquimedular decorrente de ferimentos de armas de fogo nos pacientes atendidos no Hospital Metropolitano de Urgências e Emergências acomete principalmente homens jovens. O nível cervical foi o mais acometido e a classificação ASIA A foi a mais prevalente. O tratamento conservador foi adotado na maioria dos casos, sendo que mais da metade dos pacientes evoluiu com complicações, especialmente infecciosas, enquanto uma significativa parcela evoluiu para óbito. AbstractObjective This study aimed to describe the clinical and epidemiological aspects of Spinal Cord Injury caused by firearms in patients admitted to the Metropolitan Urgency and Emergency Hospital, Belém, Pará,

show abstract

Gunshot wounds to the spine: study of 246 patients

Cited by 10 publications

References 0 publications

Treatment of Civilian Gunshot Wounds of the Spine

Treatment of Civilian Gunshot Wounds of the Spine

Gunshot injuries in the spine

Epidemiologia do traumatismo raquimedular por projéteis de armas de fogo em um hospital de referência no estado do Pará

Contact Info

Product

Resources

About