Epidemiology of gunshot injuries of the spine in the Kharkiv region during the war in Eastern Ukraine

Authors

  • Volodymyr Radchenko
  • Kostiantin Popsuishapka
  • Andrey Popov
  • Oleksandr Boroday
  • Sergej Bibichenko

DOI:

https://doi.org/10.15674/0030-5987201635-10

Keywords:

spine and spinal cord gunshot injuries, sur¬gical treatment, evacuation stages

Abstract

In connection with the battle action in Eastern Ukraine in the past two years, the structure of gunshot and traumatic injuries of the spine and spinal cord has changed dramatically.

Objec­tive: To study the structure of gunshot injuries of the spine for detecting the most common forms of this disease, the characteris­tics of the damage natural history and to determine the specifics of treatment tactics.

Methods: The medical records of 36 pa­tients with gunshot spine and spinal cord injuries — 22 military officers and 14 civilians.

Results: it is determined the distribu­tion of patients according to the type of weapon that caused the injuries — 10 people with gunshot wounds, 26 with minecom­minuted injuries. Among patients with gunshot wounds 24 had penetrating damage, 11 — non-penetrating and 1 had paraver­tebra wound. Among all penetrating wounds there were 14 blind and 10 — penetrating. Gunshot damage to the cervical spine were found in 5 patients, thoracic spine in 16, lumbar spine in 13, sacral spine in 2. Most of patients with wounded spine (83 %) had neurological symptoms, and 66 % out of them had signs of a complete rupture of the spinal cord or cauda equina. Surgical interventions on the spine (laminectomy without stabilization or with pedicular implant stabilization ) was performed on 5–7-y day after stabilizing the patient's general state.

Conclusions: in the victims of battle actions in Eastern Ukraine minecomminu­tion injuries prevailed over the bullet wounds. Gunshot injuries of the spine and spinal cord are usually combined with the damage of neck, chest and abdomen organs. Surgical treatment of spine and spinal cord injuries should be performed in spe­cialized hospitals, it should be differentiated depending on the overall condition of the patient and the severity of the type of damage.

References

Verkhovskyi OE, Orlov VP, Dulayev OK, Trufanov GE, Rameshvili TE, Anosov MO. Gunshot wounds of the spine and spinal cord. Practical medicine. St.P.: Hippocrates, 2002, рр.164–171.

Goldberg DG, Razdol'skyi IY. Classification and frequency of gunshot injuries of the spine and spinal cord. Soviet medicine experience in Great Patriotic War 1941-1945 years. M.. 1952;11:22–36.

Goldberg DG. Gunshot damages of the spine and spinal cord: abstract the doctor of medical sciences

Buxton N. The military medical management of missile injury to the spine: a review of the literature and proposal of guide¬lines. J R. Army Med. Corps. 2001;147:168–172.

Aebi M, Arlet V, Webb JK. AO spine manual: principles and techniques. Davos: AO Publishing. 2007;1:663.

Aebi M. Arlet V, Webb JK. AO spine manual: clinical applications. Davos: AO Publishing. 2007;2:837.

Polyshchuk NE, Korzh NA, Physhchenko VY. Injuries of the spine and spinal cord (mechanisms, clinical features, diagnosis, treatment). Kyiv. 2001. 387 p.

Issue

Section

ORIGINAL ARTICLES

Most read articles by the same author(s)

<< < 1 2 3 4 5 6 > >>