BACKGROUND CONTEXT The incidence of violent crimes has risen over the past decade. With it, gunshot injuries have become increasingly more common in the civilian population. Among the most devastating injuries are gunshot wounds to the spine. PURPOSE The purpose of this article is to provide a thorough review of the pathomechanics, diagnosis and treatment of gunshot wounds to the spine. STU...

Controversy exists among the orthopedic community regarding the treatment of gunshot injuries. No consistent treatment algorithm exists for treatment of low energy gunshot wound (GSW) trauma. The purpose of this study was to critically examine the wound contamination following low velocity GSW based upon bullet caliber and clothing fiber type found within the injury track. Four types of handgun...

our experience as a result of this war shows that early intubation, aggressive resuscitation and gcs score are important factors for survival. the time of arrival has great importance on mortality. despite the diversity of views in the literature, patients with gcs of 4 and above should be operated if surgical pathologies exist, and decompressive craniectomy must made wide. if duraplasty is nec...

BACKGROUND Pellet gunfire injuries inflicted while controlling agitated mobs has been studied. METHODS A total of 198 patients admitted to the Accident and Emergency Department with pellet gun injuries were studied in terms of anatomic site, severity and type of injury, treatment, and outcomes. RESULTS 72.7% of patients were aged 16-25 years. The most common sites of injury were the extremi...

A gunshot wound is associated with high-energy transfer and the extent of intra-abdominal injuries is difficult to predict. The path of the missile is unpredictable and secondary missiles eg, bone fragments or fragments of the bullet can inflict other injuries. The velocity of military firearms and hunting rifles is much higher than that of civilian handguns and therefore has a much higher ener...

OBJECTIVE To evaluate and quantify the correlation between surface wounds and internal injuries. METHODS The medical records of 55 patients, admitted over a two year period with a diagnosis of gunshot wound of abdomen, were reviewed retrospectively. Imaginary trajectories of each bullet track were reconstructed on real scale abdominal anatomy models, and data regarding expected injuries was o...

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 ...

BACKGROUND Many types of projectiles, including modern hollow point bullets, fragment into smaller pieces upon impact, particularly when striking bone. This study was performed to examine the effect on time to union with retained bullet material near a fracture site in cases of gunshot injury. METHODS All gunshot injuries operatively treated with internal fixation at a Level 1 Trauma Center b...

Most civilian nonfatal gunshot injuries and murders involve handguns. Gunshot wounds are often classified as being due to high-velocity or low-velocity projectiles, e.g. rifle or handgun rounds. However, this is a historical distinction, and there is overlap in energy that can be delivered to tissue by modern rifle and handgun rounds. Also, the same diameter (caliber) bullet can have different ...