IS SPINAL GUNSHOT WOUND SURGERY REALLY NECESSARY?
Journal of Turkish Spinal Surgery, cilt.33, sa.4, ss.151-156, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 4
- Basım Tarihi: 2022
- Doi Numarası: 10.4274/jtss.galenos.2022.36854
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.151-156
- Anahtar Kelimeler: Gunshot, spinal injury, surgery, wound
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The most common causes of spinal injuries are traffic accidents and falls. The third most common cause is spinal gunshot wounds (spinal GSWs). Moreover, the treatment of spinal GSWs remains controversial. The aim of this study was to evaluate the results of treatment options and determine the best treatment for spinal GSWs. Materials and Methods: A total of 33 spinal GSW patients treated at our institution between January 2014 and December 2019 were retrospectively assessed. Epidemiological and medical information, including age, sex, sign, the form of operation, initial examination, followup evaluation, and imaging data, was gathered in individuals who had neurological deficits. Results: There were 24 males and 9 females (mean age, 31.5 years at the time of injury). The mean hospital length of stay was 14.3 days (range, 1-85 days). The mean follow-up time was 8.2 months (range, 0-13 months). Of these injuries, 27 caused neurological deficits. A total of 17 (51.5%) patients underwent spinal operations, and 16 (48.5%) had conservative management. Six (18%) patients needed intervention for spinal instability. The neurological conditions of 10 patients worsened during the follow-up period. Five patients did not show improvement in their recent neurological condition (p>0.05). Two patients had better outcomes during the follow-up. The surgical intervention did not significantly improve outcomes relative to those of conservative management (p>0.05). Conclusion: There is an ongoing need for more extensively studied protocols specific to spinal GSWs to further improve treatment decisions and the standard of care.