medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2000, Number 1

<< Back Next >>

Acta Ortop Mex 2000; 14 (1)

Clinical-epidemiological trial in patients who have gunshot spine injuries, admitted to a reference social security hospital

López B, Anaya VS, Rodríguez CR, García LRP

Language: Spanish
References: 17
Page: 44-47
PDF size: 93.61 Kb.


ABSTRACT

This is an epidemiologic series of 38 patients who had spine injury by gunshot. There were 35 male (92%) and 3 female patients (8%). Average age was 26 years (SD= 7). More commonly working class patients were employees in 24%, followed by factory workers and students in 18% each. According to the day-nigth timing, 16 (42%) occurred between 18:00 and 24:00, and 12 (31.6%) between noon and 18:00 hours. Lumbar was the most frequently affected region for 50%, followed by thoracic in 37% and cervical in 13%. Complete spinal cord injury was present in 15 (40%), anterior spinal cord syndrome in 8 (21%) and no injury was found in 3 (8%).


REFERENCES

  1. Barba OPS. Tesis para obtener especialidad en medicina forense, en la SDN, Esc. Militar de Graduados en Sanidad México, D.F. 1998: 47.

  2. Benzel EC, Hadden TA, Culeman LE. Civilian gunshot wound to the spinal cord and cauda equina. Neurosurgery 1987; 20: 281-5.

  3. Duker TB, Zeldman SM. Spinal cord injury roles of steroids theraphy. Spine 1994; 19(28): 2281-7.

  4. Eismont FJ. Gunshot wounds of the spine. In Levine, AM, et al: Spine trauma, WB Saunders Compañy 1998: 525-543.

  5. Grande CM. Mechanism and patterns of injury. They key to anticipation in trauma management. Critical Care Clinics 1990; 6(1): 25-35.

  6. Isikaar LU, Lindsey RW. Low-velocity civilian gunshot wound of the spine. Orthopedics 1997; 10(10): 967-72.

  7. Isikaar LU, Lindsey RW. Gunshot, wounds to the spine. Injury 1998, 29 (supl).

  8. Jallo GI, Cooper PR. Penetrating injuries of spine and spinal cord. In meneses. Principies of spinal surgery. Vol. 2 Chap 52. De Cc-Graw-Hill 807-815.

  9. Kupcha PC, An HS, Cotle JM. Gunshot wounds to the cervical spine. Spine 1990; 15(10): 1058-63.

  10. Ordog GJ, Wasserberger J, Balasubramaniam S. Shotgun wound ballisties. J Traum 1988; 28(5): 624-31.

  11. Padrta Jr JC, Barone JE, Reed DM, Wheeler G. Expanding handgun bullets. 1997; 43(3): 516-620.

  12. Poret HA, Fabian TC, Croce MA, Bynoe RP, Kuask KA. Analysis of septic morbidity following gunshot wounds to the colon; the missile is an adjuvant for abscess. J Fraum Traum 1991; 31(8): 1088-95.

  13. Stauffen ES, Wooy RN, Kelly EG. Gunshor wounds of the spine. The effects of laminectomy. JBJS 1979; 61(A): 389-92.

  14. Sykes Jr LN, Champion HR, Fouty WJ. Pum-Dums, Hollow-points and devastators: Techniques designed to increase wounding potential of Bullets. J Traum 1998; 28(5): 618-23

  15. Tekavcic J, Smrkow VA. The path of a wounding missile along the spinal canal. A case report. Spine 1996; 21(5): 639-64.

  16. Waters RL, Hu SS. Penetrating injuries of the spinal canal and gunshot injuries. In frymoyer, JW, 2da. De. The adult spine: principies and practice, Lippincott Raven Publisher, Phildelphia 1997: 919-930.

  17. White AP, Jhonson XXX, Panjab MM. Biomechanical analysis of clinical saility in the cervical spine clin. Orthop 1975; 109: 85-95.




2020     |     www.medigraphic.com