Spine Essentials Handbook: A Bulleted Review Of...
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Core fundamentals cover spine anatomy, clinical evaluations, spine imaging, diagnostic spine tests, and select spine procedures. Common surgical approaches are delineated in succinct bulleted text, accompanied by case studies and radiographic pathology. This format is conducive to learning and provides an ideal spine surgery review for medical students, postgraduate trainees participating in spine rotations, and residents.
Narain AS, Hijji FY, Louie PK, Bohl DD, Singh K. Spinal trauma and fractures. In: Spine Essentials Handbook. A bulleted review of anatomy, evaluation, imaging, tests and procedures. 1ed. New York: Thieme; 2019. p. 148.
Penetrating spinal trauma due to missile/gunshot injuries has been well reported in the literature and has remained the domain of military warfare more often. Civic society's recent upsurge in gunshot injuries has created a dilemma for the treating neurosurgeon in many ways as their management has always involved certain debatable and controversial issues. Both conservative and surgical management of penetrating spinal injuries (PSI) have been practiced widely. The chief neurosurgical concern in these types of firearm injuries is the degree of damage sustained during the bullet traversing through the neural tissue and the after-effects of the same in long term. We had an interesting case of a penetrating bullet injury to cervical spine at C2 vertebral level. He was operated and the bullets were removed from posterior midline approach. Usually, the management of such cases differs from region to region depending on the preference of the surgeon but still certain common principles are followed world over. Thus, we realized the need to review the literature regarding spinal injuries with special emphasis on PSI and to study the recent guidelines for their treatment in light of our case.
Penetrating spinal injuries (PSI) to spine have been on the rise recently. Missile and non-missile PSI (MPSI and NMPSI, respectively) account for most of the military and civilian wounds. We encountered a case of PSI and hence, reviewed the current literature involving MPSI and NMPSI in order to outline the current management protocol. 59ce067264