Early management of war missile spine and spinal cord injuries: experience with 21 cases
| Autor: | G. Šarić, Bruno Splavski, Goran Blagus, B. Muršić, M. Rukovanjski, Dj. Vranković |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Warfare Time Factors Adolescent Decompression Croatia medicine.medical_treatment Wounds Penetrating Thoracic Vertebrae Central nervous system disease Lumbar medicine Humans Child Tetraplegia Rachis Spinal Cord Injuries General Environmental Science Lumbar Vertebrae business.industry Multiple Trauma Laminectomy Middle Aged medicine.disease Spinal cord Surgery medicine.anatomical_structure Spinal Injuries Anesthesia General Earth and Planetary Sciences Female Wounds Gunshot business Paraplegia Tomography X-Ray Computed human activities |
| Zdroj: | Injury. 27(10) |
| ISSN: | 0020-1383 |
| Popis: | Between 1991 and 1994, 21 patients with war missile injuries of the spine and spinal cord were treated; there were 17 men and four women, with a mean age 30.7 years; 52.4 per cent were civilians. The wounds were caused by shells (54.6 per cent) and bullets (45.4 per cent). The thoracic and lumbar spines were most commonly injured, and the injuries were frequently associated with lesions of other organs (47.6 per cent). There was extensive initial neurological deficit (tetraplegia, paraplegia) in 47.6 per cent of cases in whom there was no postoperative neurological recovery. All patients were treated operatively and associated injuries of other organs received priority management. A decompressive laminectomy was performed in 80.9 per cent of patients. Penetrating injuries of the dura were recorded in 61.9 per cent, while the spinal cord was injured in 28.5 per cent of patients. The dural defect was reconstructed in these patients. There was a low incidence of postoperative complications (14.5 per cent) which emphasizes the importance of early surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect