Gunshot injury to spine:An institutional experience of management and complications from a developing country

作     者：Mir Ibrahim Sajid Bushra Ahmad Shaikh Danish Mahmood Aneela Darbar Sajid Mir Ibrahim;Ahmad Bushra;Mahmood Shaikh Danish;Darbar Aneela

作者机构：Medical CollegeAga Khan UniversityKarachi74880Pakistan Department of NeurosurgeryAga Khan University HospitalKarachi74880Pakistan 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2020年第23卷第6期

页      面：324-328页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Hospital management Cord transection Prognostic predictors Gunshot injury Spinal trauma 

摘      要：Purpose Gunshot wounds are the second leading cause of spinal cord *** intervention for gunshot injury to the spine carries a high rate of *** is a scarcity of data on civilian gunshot injuries to the spine in *** 60 cases over the last 10 years have been recoded,with unusual presentation and neurological *** it is imperative to fill this gap in data,by reviewing cases of civilian gunshot injuries to spine presenting at a tertiary care hospital(Aga Khan University Hospital,Karachi).Methods This is a retrospective cohort *** of all ages who presented to the emergency department of Aga Khan University Hospital,with gunshot injuries to spine between January 2005 and December 2016 were included in the *** were collected on neurological status(American Spinal Injury Association score was used for the initial and follow-up neurological assessment),extent of cord transection,motor and sensory *** patients were further grouped into those with cord transection,and those with fractures of the bony spine but an intact spinal *** patients were then followed and the outcomes were *** A total of 40 patients were *** mean±SD of patients age was(30.9±9.5)*** the 40 patients with gunshot wounds,31 had the medical imaging performed at the facility,and hence they were included in this *** remaining 9 patients were excluded from this additional *** patients were managed surgically and 27 patients underwent the conservative *** mean±SD of follow-up was(8.7±7.2)*** our study,the thoracic spine was the most commonly injured region in gunshot *** the 31 patients with medical imaging performed at our institute,17(54.8%)had cord transection,of whom 8(47%)ultimately developed *** The prognosis of gunshot injuries to the spine can be varied depending on whether the spinal cord is intact or ***