Gunshot wounds to the spine.
Orthop Clin North Am
; 26(1): 109-16, 1995 Jan.
Article
em En
| MEDLINE
| ID: mdl-7838490
ABSTRACT
Gunshot wounds to the spine are becoming more prevalent, especially in urban areas. Neurologic injury can occur even if the projectile does not penetrate the spinal canal. Initial treatment should consist of stabilizing the patient's medical condition followed by a careful neurologic examination. Spinal stability can be determined from plain radiographs and CT scan, with the overwhelming majority of injuries being stable. Retained bullets rarely cause problems of delayed infection, late neurologic decline, or lead toxicity, eliminating the need for prophylactic bullet removal; however, in the thoracolumbar spine, removal of bullet fragments lodged within the spinal canal has been shown to significantly improve neurologic recovery.
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Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
/
Traumatismos da Coluna Vertebral
/
Ferimentos por Arma de Fogo
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
1995
Tipo de documento:
Article