Gunshot wounds of the spine and spinal cord in a local wars (literature review and analysis of own observations)

Authors

  • Mykola Polishchuk Department of Neurosurgery, Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine
  • Aleksandr Danchin Clinic of Neurosurgery and Neurology, Main Military Medical Clinical Center, Kiev, Ukraine
  • Aleksey Isaenko Kiev City Clinical Emergency Hospital, Kiev, Ukraine
  • Oleksandr Tkachenko Department of Spine and Spinal Cord Surgery, Kiev City Clinical Emergency Hospital, Kiev, Ukraine
  • Natalia Melnik Clinic of Neurosurgery and Neurology, Main Military Medical Clinical Center, Kiev, Ukraine
  • Georgiy Danchin Clinic of Neurosurgery and Neurology, Main Military Medical Clinical Center, Kiev, Ukraine
  • Oksana Goncharuk Department of Neurosurgery, Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine
  • Oleksandr Voloshchuk Department of Neurosurgery, Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine
  • Grigoriy Tsvigun Clinic of Neurosurgery and Neurology, Main Military Medical Clinical Center, Kiev, Ukraine
  • Pavlo Bidzilya Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine

DOI:

https://doi.org/10.25305/unj.42395

Keywords:

gunshot wounds, spine, spinal cord, liquorrhea, decompression, stabilization

Abstract

The character of gunshot injuries of the spine and spinal cord with modern weapons in local fighting was analyzed, the sequencing and features of tactics in these patients were determined.

Observation and surgical treatment was performed in 16 patients with gunshot injuries of the spine and spinal cord.

In all cases identified multiple injuries of the chest and/or abdomen were revealed, in 2 — pelvic organs. Bullet wounds dominated in places not protected by body armor. Life-saving surgery was performed in acute period in health facilities close to the fighting zone, as well as in general hospitals that allowed to save lives of 15 wounded persons. 15 injured persons were operated on for gunshot wounds of the spine and spinal cord. One patient with wounded liver, stomach, spine and spinal cord (Frankel A) died after surgery on abdominal organs in a result of multiple organ failure and disseminated intravascular coagulation.

In local fighting spine wounds in most cases were characterized by multiple injuries of the chest and/or abdomen, surgery was performed in the first hours after injury in general hospitals. Surgery on the spine was performed after patients’ state stabilization: liquorrhea elimination, decompression of spinal cord and it’s roots, and spine stabilization as indicated.

Author Biographies

Aleksey Isaenko, Kiev City Clinical Emergency Hospital, Kiev

Department of Spine and Spinal Cord Surgery

Pavlo Bidzilya, Shupyk National Medical Academy of Postgraduate Education, Kiev

Department of Neurosurgery

References

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Published

2015-05-10

How to Cite

Polishchuk, M., Danchin, A., Isaenko, A., Tkachenko, O., Melnik, N., Danchin, G., Goncharuk, O., Voloshchuk, O., Tsvigun, G., & Bidzilya, P. (2015). Gunshot wounds of the spine and spinal cord in a local wars (literature review and analysis of own observations). Ukrainian Neurosurgical Journal, (1), 16–22. https://doi.org/10.25305/unj.42395

Issue

No. 1 (2015)

Section

Review articles

License

Copyright (c) 2015 Mykola Polishchuk, Aleksandr Danchin, Aleksey Isaenko, Oleksandr Tkachenko, Natalia Melnik, Georgiy Danchin, Oksana Goncharuk, Oleksandr Voloshchuk, Grigoriy Tsvigun, Pavlo Bidzilya

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