Gunshot injuries of the spine

dc.contributor.authorLe Roux, J C
dc.contributor.authorDunn, R N
dc.date.accessioned2017-04-11T05:43:37Z
dc.date.available2017-04-11T05:43:37Z
dc.date.issued2005
dc.date.updated2016-01-05T09:57:46Z
dc.description.abstractThe Acute Spinal Injury Unit, relocated from Conradie Hospital to Groote Schuur Hospital in mid-2003, admitted 162 patients in the first year of its existence. A large number of these injuries were the result of interpersonal violence, particularly gunshot wounds. Aim. To review patients with gunshot injuries to the spine, with reference to neurological injury, associated injuries, need for surgery and complications. Methods. A comprehensive database is maintained to collect data on all spinal injury admissions. These data, as well as case notes and X-rays, were reviewed for all gunshot spine patients admitted to the Acute Spinal Injury Unit over a year. Forty-nine patients were identified. Thirty-eight were male and 11 female with an average age of 27.5 years (range 15 - 51 ± 8.53). The average stay in the acute unit was 30 (4 - 109 ± 28) days. Results. The spinal injury was complete in 38 and incomplete in 8, with 3 having no neurological deficit. The level was cervical in 13, thoracic in 24 and lumbar in 12. Only 9 patients improved neurologically. The spine was considered stable in 43 cases. Stabilisation was performed in the 6 unstable cases. The bullets were removed in 11 cases as they were in the canal. There were 55 significant associated injuries, viz. 14 haemo-pneumothoraces, 16 abdominal visceral injuries, 3 vascular injuries, 4 injuries of the brachial plexus and 3 of the oesophagus, 2 tracheal injuries, 1 soft palate injury and 11 non-spinal fractures. Complications included 3 deaths and discitis in 3 cases, pneumonia in 6 and pressure sores in 6. Conclusion. Gunshot injuries of the spine are a prevalent and resource-intensive cause of paralysis. There is a high incidence of permanent severe neurological deficit, but usually the spine remains mechanically stable. Most of the management revolves around the associated injuries and consequences of the neurological deficit.
dc.identifier.apacitationLe Roux, J. C., & Dunn, R. N. (2005). Gunshot injuries of the spine. <i>South African Journal of Surgery</i>, http://hdl.handle.net/11427/24175en_ZA
dc.identifier.chicagocitationLe Roux, J C, and R N Dunn "Gunshot injuries of the spine." <i>South African Journal of Surgery</i> (2005) http://hdl.handle.net/11427/24175en_ZA
dc.identifier.citationLe Roux, J. C., & Dunn, R. N. (2009). Gunshot injuries of the spine-a review of 49 cases managed at the Groote Schuur Acute Spinal Cord Injury Unit. South African journal of surgery, 43(4), 165-169.
dc.identifier.ris TY - Journal Article AU - Le Roux, J C AU - Dunn, R N AB - The Acute Spinal Injury Unit, relocated from Conradie Hospital to Groote Schuur Hospital in mid-2003, admitted 162 patients in the first year of its existence. A large number of these injuries were the result of interpersonal violence, particularly gunshot wounds. Aim. To review patients with gunshot injuries to the spine, with reference to neurological injury, associated injuries, need for surgery and complications. Methods. A comprehensive database is maintained to collect data on all spinal injury admissions. These data, as well as case notes and X-rays, were reviewed for all gunshot spine patients admitted to the Acute Spinal Injury Unit over a year. Forty-nine patients were identified. Thirty-eight were male and 11 female with an average age of 27.5 years (range 15 - 51 ± 8.53). The average stay in the acute unit was 30 (4 - 109 ± 28) days. Results. The spinal injury was complete in 38 and incomplete in 8, with 3 having no neurological deficit. The level was cervical in 13, thoracic in 24 and lumbar in 12. Only 9 patients improved neurologically. The spine was considered stable in 43 cases. Stabilisation was performed in the 6 unstable cases. The bullets were removed in 11 cases as they were in the canal. There were 55 significant associated injuries, viz. 14 haemo-pneumothoraces, 16 abdominal visceral injuries, 3 vascular injuries, 4 injuries of the brachial plexus and 3 of the oesophagus, 2 tracheal injuries, 1 soft palate injury and 11 non-spinal fractures. Complications included 3 deaths and discitis in 3 cases, pneumonia in 6 and pressure sores in 6. Conclusion. Gunshot injuries of the spine are a prevalent and resource-intensive cause of paralysis. There is a high incidence of permanent severe neurological deficit, but usually the spine remains mechanically stable. Most of the management revolves around the associated injuries and consequences of the neurological deficit. DA - 2005 DB - OpenUCT DP - University of Cape Town J1 - South African Journal of Surgery LK - https://open.uct.ac.za PB - University of Cape Town PY - 2005 T1 - Gunshot injuries of the spine TI - Gunshot injuries of the spine UR - http://hdl.handle.net/11427/24175 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/24175
dc.identifier.vancouvercitationLe Roux JC, Dunn RN. Gunshot injuries of the spine. South African Journal of Surgery. 2005; http://hdl.handle.net/11427/24175.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Orthopaedic Surgeryen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Journal of Surgery
dc.source.urihttp://sajs.redbricklibrary.com/index.php/sajs
dc.titleGunshot injuries of the spine
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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