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

Chinese Journal of Traumatology 2020年第6期23卷 324-328页

作者： Mir Ibrahim Sajid Bushra Ahmad Shaikh Danish Mahmood aneela darbar Medical College Aga Khan UniversityKarachi74880Pakistan Department of Neurosurgery Aga Khan University HospitalKarachi74880Pakistan

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 ***

关键词： Hospital management Cord transection Prognostic predictors Gunshot injury Spinal trauma

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