The role of routine spinal imaging and immobilisation in asymptomatic patients after gunshot wounds

Injury

Volumn 40, Issue 8, 2009, Pages 860-863

  DuBose, Joseph ^a   Teixeira, Pedro G R ^a   Hadjizacharia, Pantelis ^a   Hannon, Matt ^a   Inaba, Kenji ^a   Green, D G ^a   Plurad, David ^a   Demetriades, Demetrios ^a   Rhee, Peter ^b  

^a LAC USC MEDICAL CENTER   (United States)

^b UNIVERSITY OF ARIZONA   (United States)

Author keywords

Gunshot wounds; Spinal injury; Trauma

Indexed keywords

ARTICLE; GUNSHOT INJURY; HUMAN; IMMOBILIZATION; INCIDENCE; MEDICAL RECORD REVIEW; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SPINAL CORD DECOMPRESSION; SPINE INJURY; SPINE INSTABILITY; SPINE RADIOGRAPHY; SPINE STABILIZATION; TREATMENT OUTCOME;

ADULT; CERVICAL VERTEBRAE; DECOMPRESSION, SURGICAL; HUMANS; IMMOBILIZATION; INCIDENCE; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; SPINAL INJURIES; TRAUMA CENTERS; TREATMENT OUTCOME; WOUNDS, GUNSHOT;

EID: 67650099031     PISSN: 00201383     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.injury.2008.11.005     Document Type: Article

References (25)

1. Arishita G.I., Vayer J.S., and Bellamy R.F. Cervical spine immobilization of penetrating neck wounds in a hostile environment. J Trauma 29 3 (1989) 332-337
2. Aryan H.E., Amar A.P., Ozgur B.M., et al. Gunshot wounds to the spine in adolescents. Neurosurgery 57 4 (2005) 748-752 discussion 748-52
3. Barkana Y., Stein M., Scope A., et al. Prehospital stabilization of the cervical spine for penetrating injuries of the neck-is it necessary?. Injury 31 5 (2000) 305-309
4. Connell R.A., Graham C.A., and Munro P.T. Is spinal immobilisation necessary for all patients sustaining isolated penetrating trauma?. Injury 34 12 (2003) 912-914
5. Cornwell III E.E., Chang D.C., Bonar J.P., et al. Thoracolumbar immobilization for trauma patients with torso gunshot wounds: is it necessary?. Arch Surg 136 3 (2001) 324-327
6. Farmer J.C., Vaccaro A.R., Balderston R.A., et al. The changing nature of admissions to a spinal cord injury center: violence on the rise. J Spinal Disord 11 5 (1998) 400-403
7. Hoffman J.R., Mower W.R., Wolfson A.B., et al. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Engl J Med 343 2 (2000) 94-99
8. Isiklar Z.U., and Lindsey R.W. Gunshot wounds to the spine. Injury 29 Suppl 1 (1998) SA7-12
9. Kaups K.L., and Davis J.W. Patients with gunshot wounds to the head do not require cervical spine immobilization and evaluation. J Trauma 44 5 (1998) 865-867
10. Kennedy F.R., Gonzalez P., Beitler A., et al. Incidence of cervical spine injury in patients with gunshot wounds to the head. South Med J 87 6 (1994) 621-623
11. Kihtir T., Ivatury R.R., Simon R., et al. Management of transperitoneal gunshot wounds of the spine. J Trauma 31 12 (1991) 1579-1583
12. Klein Y., Cohn S.M., Soffer D., et al. Spine injuries are common among asymptomatic patients after gunshot wounds. J Trauma 58 4 (2005) 833-836
13. Kupcha P.C., An H.S., and Cotler J.M. Gunshot wounds to the cervical spine. Spine 15 10 (1990) 1058-1063
14. le Roux J.C., and Dunn R.N. Gunshot injuries of the spine-a review of 49 cases managed at the Groote Schuur Acute Spinal Cord Injury Unit. S Afr J Surg 43 4 (2005) 165-168
15. Lin S.S., Vaccaro A.R., Reisch S., et al. Low-velocity gunshot wounds to the spine with an associated transperitoneal injury. J Spinal Disord 8 2 (1995) 136-144
16. Medzon R., Rothenhaus T., Bono C.M., et al. Stability of cervical spine fractures after gunshot wounds to the head and neck. Spine 30 20 (2005) 2274-2279
17. Mirovsky Y., Shalmon E., Blankstein A., et al. Complete paraplegia following gunshot injury without direct trauma to the cord. Spine 30 21 (2005) 2436-2438
18. Peleg K., Aharonson-Daniel L., Stein M., et al. Gunshot and explosion injuries: characteristics, outcomes, and implications for care of terror-related injuries in Israel. Ann Surg 239 3 (2004) 311-318
19. Rhee P., Kuncir E.J., Johnson L., et al. Cervical spine injury is highly dependent on the mechanism of injury following blunt and penetrating assault. J Trauma 61 5 (2006) 1166-1170
20. Rhee P., Martin M., Dave P., et al. Spine injuries following isolated truncal, head, or neck gunshots. J Trauma 59 4 (2005) 1033-1034
21. Roye Jr. W.P., Dunn E.L., and Moody J.A. Cervical spinal cord injury-a public catastrophe. J Trauma 28 8 (1988) 1260-1264
22. Stauffer E.S., Wood R.W., and Kelly E.G. Gunshot wounds of the spine: the effects of laminectomy. J Bone Joint Surg Am 61 3 (1979) 389-392
23. Waters RL, Sie IH. Spinal cord injuries from gunshot wounds to the spine. Clin Orthop Relat Res 2003;408(408):120-5.
24. Waters R.L., and Adkins R.H. Firearm versus motor vehicle related spinal cord injury: preinjury factors, injury characteristics, and initial outcome comparisons among ethnically diverse groups. Arch Phys Med Rehabil 78 2 (1997) 150-155
25. Yoshida G.M., Garland D., and Waters R.L. Gunshot wounds to the spine. Orthop Clin N Am 26 1 (1995) 109-116