کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4094735 1268486 2010 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Gunshot Injuries to the Thoracolumbar Spine
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Gunshot Injuries to the Thoracolumbar Spine
چکیده انگلیسی

Gunshot wounds to the spine are a common cause of spinal cord injury. The thoracolumbar area is the second most commonly injured region of the spine by gunshot wounds and is the focus of this article. In this article, the authors discuss the fundamentals of ballistics and tissue injury, involved in both low- and high-velocity gunshot wounds to the thoracolumbar spine. A discussion of the diagnostic and therapeutic tools involved in the management of these injuries is undertaken. Furthermore, the approach to the patient with a thoracolumbar gunshot wound is presented. Management must start with maintenance of airway, breathing, and circulation, and proceed with physical examination, laboratory, diagnostic imaging, and medical and surgical interventions. Tetanus prophylaxis and antibiotic administration for 7-14 days are imperative. Surgical debridement and surgical stabilization are rarely necessary in low-velocity, low-energy civilian gunshot wounds. Indications for surgery include wartime gunshot wounds, progression of neurologic deficit, persistent cerebrospinal fluid fistula, cauda equina syndrome with mass effect from bullet or bone fragments, and intracanalicular bullets between T12 and L4.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Spine Surgery - Volume 22, Issue 2, June 2010, Pages 73–77
نویسندگان
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