Penetrating Spinal Injuries, Cases Registry in Sohag University Hospital

Background Data: Penetrating spinal cord injuries caused by missile or stab wound injuries are uncommon. The harm may be due to the direct injurious effect or may be due to the resulting vascular insult either in the form of an intra- or extradural hemorrhage or spinal infarction or a late infection...

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Autores principales:	Ahmed Saro, Roshdy Elkhayat
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	Stab injuries penetrating wounds neurological deficit spinal cord injuries Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/87ac7a6d423f49129af987420c9cfbde
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spelling	oai:doaj.org-article:87ac7a6d423f49129af987420c9cfbde2021-12-02T04:46:59ZPenetrating Spinal Injuries, Cases Registry in Sohag University HospitalDOI:10.21608/ESJ.2016.39892314-89502314-8969https://doaj.org/article/87ac7a6d423f49129af987420c9cfbde2016-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3989.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Penetrating spinal cord injuries caused by missile or stab wound injuries are uncommon. The harm may be due to the direct injurious effect or may be due to the resulting vascular insult either in the form of an intra- or extradural hemorrhage or spinal infarction or a late infection at the site of injury. Penetrating injuries may cause a neurological motor, sensory or an autonomic deficits or a combination of them. Both the conservative and the surgical treatments are widely practiced among the neurosurgeons. Such injuries not only affect the patient’s lifestyle but also influence the whole patient’s family. Purpose: To Evaluate the penetrating spinal injuries and describe the multiteam management and report both clinical and radiological characteristics of the patients. Also, we would assess the course and the prognosis in both complete and incomplete spinal cord injuries. Study Design: A cohort study conducted to patients with penetrating injuries Patients and Methods: A case series retrospective study of 28 patients presented to the emergency department at Sohag university hospital between March 2012 and March 2015 with penetrating spinal injuries caused by knives, dagger, and missile and nail gun injuries. A full history was taken. Complete general and neurological examination including motor power, sensory examination using Frankel grading classification. Results: The average age was 28.36±5.96 (range 19-37) years. Twelve injuries were in lumbar spine, 12 in the dorsal spine, and 4 in the cervical spine. None of the cases shows an infection or a cerebrospinal fluid leak. Spinal cord injuries were as follow; 16 cases (57.1%) showed no spinal cord injuries, 8 patients (28.6%) showed incomplete spinal cord injuries and 4 patients (14.3%) had complete spinal cord injury with no motor or sensory functions below the level of the injury. The incomplete spinal injuries due to firearm improved markedly according to Frankel grading system. Conclusion: Missile injuries have the most detrimental effect among the penetrating spinal injuries. Complete spinal cord injuries have the worst prognosis. Most of the incomplete spinal cord injuries had improved with varying degrees. The prognosis of the penetrating spinal injury is proportional to the extent and to the level of the injury. (2016ESJ110)Ahmed Saro Roshdy ElkhayatEgyptian Spine AssociationarticleStab injuriespenetrating woundsneurological deficitspinal cord injuriesNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 18, Iss 1, Pp 53-60 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Stab injuries penetrating wounds neurological deficit spinal cord injuries Neurology. Diseases of the nervous system RC346-429
spellingShingle	Stab injuries penetrating wounds neurological deficit spinal cord injuries Neurology. Diseases of the nervous system RC346-429 Ahmed Saro Roshdy Elkhayat Penetrating Spinal Injuries, Cases Registry in Sohag University Hospital
description	Background Data: Penetrating spinal cord injuries caused by missile or stab wound injuries are uncommon. The harm may be due to the direct injurious effect or may be due to the resulting vascular insult either in the form of an intra- or extradural hemorrhage or spinal infarction or a late infection at the site of injury. Penetrating injuries may cause a neurological motor, sensory or an autonomic deficits or a combination of them. Both the conservative and the surgical treatments are widely practiced among the neurosurgeons. Such injuries not only affect the patient’s lifestyle but also influence the whole patient’s family. Purpose: To Evaluate the penetrating spinal injuries and describe the multiteam management and report both clinical and radiological characteristics of the patients. Also, we would assess the course and the prognosis in both complete and incomplete spinal cord injuries. Study Design: A cohort study conducted to patients with penetrating injuries Patients and Methods: A case series retrospective study of 28 patients presented to the emergency department at Sohag university hospital between March 2012 and March 2015 with penetrating spinal injuries caused by knives, dagger, and missile and nail gun injuries. A full history was taken. Complete general and neurological examination including motor power, sensory examination using Frankel grading classification. Results: The average age was 28.36±5.96 (range 19-37) years. Twelve injuries were in lumbar spine, 12 in the dorsal spine, and 4 in the cervical spine. None of the cases shows an infection or a cerebrospinal fluid leak. Spinal cord injuries were as follow; 16 cases (57.1%) showed no spinal cord injuries, 8 patients (28.6%) showed incomplete spinal cord injuries and 4 patients (14.3%) had complete spinal cord injury with no motor or sensory functions below the level of the injury. The incomplete spinal injuries due to firearm improved markedly according to Frankel grading system. Conclusion: Missile injuries have the most detrimental effect among the penetrating spinal injuries. Complete spinal cord injuries have the worst prognosis. Most of the incomplete spinal cord injuries had improved with varying degrees. The prognosis of the penetrating spinal injury is proportional to the extent and to the level of the injury. (2016ESJ110)
format	article
author	Ahmed Saro Roshdy Elkhayat
author_facet	Ahmed Saro Roshdy Elkhayat
author_sort	Ahmed Saro
title	Penetrating Spinal Injuries, Cases Registry in Sohag University Hospital
title_short	Penetrating Spinal Injuries, Cases Registry in Sohag University Hospital
title_full	Penetrating Spinal Injuries, Cases Registry in Sohag University Hospital
title_fullStr	Penetrating Spinal Injuries, Cases Registry in Sohag University Hospital
title_full_unstemmed	Penetrating Spinal Injuries, Cases Registry in Sohag University Hospital
title_sort	penetrating spinal injuries, cases registry in sohag university hospital
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/87ac7a6d423f49129af987420c9cfbde
work_keys_str_mv	AT ahmedsaro penetratingspinalinjuriescasesregistryinsohaguniversityhospital AT roshdyelkhayat penetratingspinalinjuriescasesregistryinsohaguniversityhospital
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Penetrating Spinal Injuries, Cases Registry in Sohag University Hospital

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