FIREARM INJURIES IN THE SPINE. EFFECTIVE STRATEGY FOR DIAGNOSIS AND TREATMENT

The incidence of gunshot wounds to the spine on civilians has increased alarmingly and accounts for 13% to 17% of all traumatic spinal injuries, placing them in third place among the most frequent mechanisms. However, the management of these injuries is still controversial. At present there is littl...

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Hauptverfasser: Jiménez-Avila, José María, Cobar-Bustamante, Andres Enrique, Cahueque-Lemus, Mario Alberto, Gutiérrez-Roman, Elsa Armida, Guzmán-Pantoja, Jaime Eduardo
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creator Jiménez-Avila, José María
Cobar-Bustamante, Andres Enrique
Cahueque-Lemus, Mario Alberto
Gutiérrez-Roman, Elsa Armida
Guzmán-Pantoja, Jaime Eduardo
description The incidence of gunshot wounds to the spine on civilians has increased alarmingly and accounts for 13% to 17% of all traumatic spinal injuries, placing them in third place among the most frequent mechanisms. However, the management of these injuries is still controversial. At present there is little information on the management of these lesions, conservative treatment (non-surgical) being recommended in most publications. Based on the current literature, we propose a procedural protocol aimed at improving the quickness of management, as well as the prognosis of the patient. For this purpose, once the patient is hemodynamically stabilized, the following should be assessed: 1) Stability; 2) Compressive extrusion; 3) Accommodation or not in the discal space, and 4) Contact with CSF. These points are relevant to make the best decision.
doi_str_mv 10.6084/m9.figshare.20013694
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identifier DOI: 10.6084/m9.figshare.20013694
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subjects FOS: Clinical medicine
Orthopaedics
Rehabilitation and Therapy (excl. Physiotherapy)
title FIREARM INJURIES IN THE SPINE. EFFECTIVE STRATEGY FOR DIAGNOSIS AND TREATMENT
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