Gunshot wounds (GSWs) to the spine used to be a rare event, but with the increase of small arm intercity trauma, GWSs have increased to account for 13 to 17% of all spine injuries.1 The classic patient is a 30-year-old man from a low-income background who got into a fight and ends up in the hospital after being shot with a pistol.2 Most of these injuries cause devastating harm. The extent of in...

a emph{signed graph} (or, in short, emph{sigraph}) $s=(s^u,sigma)$ consists of an underlying graph $s^u :=g=(v,e)$ and a function $sigma:e(s^u)longrightarrow {+,-}$, called the signature of $s$. a emph{marking} of $s$ is a function $mu:v(s)longrightarrow {+,-}$. the emph{canonical marking} of a signed graph $s$, denoted $mu_sigma$, is given as $$mu_sigma(v) := prod_{vwin e(s)}sigma(vw).$$the li...

During a 15-year period from August 1964 to August 1979, 48 patients with gunshot wound of the esophagus (24 of the cervical, 17 of the thoracic, and seven of the abdominal) were treated at Grady Memorial Hospital. In the majority of the patients, the initial history, physical findings, and chest roentgenograms were nondiagnostic for esophageal injury. Esophageal perforation was mainly suspecte...

One approach to locate the point of fire of a supersonic bullet is to first estimate the trajectory of the bullet and then trace the trajectory back to topographic or man-made obstructions on a digital map. The supersonic flight of a bullet generates a ballistic shock wave, and the trajectory of the bullet can be estimated by measuring the time delay between the shock wave arrivals at each sens...

Delayed presentations have been reported following gunshot wounds (GSW) with retained intraspinal bullets due to migration of projectile or lead intoxication. We report on the rare occurrence of delayed pyogenic spondylodiscitis and neurological dysfunction following injury from low velocity GSW to the spine with a retained projectile. A 55-year-old male presented 4 months following GSW to the ...

Psoas abscess, which is a rarely encountered infection, is defined as the accumulation of suppurative fluid within the fascia surrounding the psoas and iliac muscles. It is categorised as being primary or secondary. Although there are reports in the literature of secondary psoas abscess from foreign bodies, to the best of our knowledge, this is the first reported case of psoas abscess developin...

OBJECTIVE To study the incidence, pattern of injuries, presentation and management of stray bullet injuries. METHODS All patients presented and admitted with stray bullet injuries during a period of 4 years from January 2006 to December 2010 were included in this prospective study which was conducted at Liaquat University of Medical and Health Sciences Hospital Hyderabad/Jamshoro. All of the ...

Background: In the past decade, endoscopic technique has been applied as a feasible and less invasive approach to orthopedic surgeries. Minimally invasive, full-endoscopic surgery gained considerable attention in managing air gun injuries spine. Sacrum among wounds are rare few have published case reports. Here, we present management of gun-bullet injury pediatric spinal spine 5-year-old child ...