ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2020
Gunshot injury to spine: An institutional experience of management and complications from a developing country.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 20 citations in OpenAlex.
- Spinal gunshot wounds and infection: a multicenter cohort study.Asian spine journal · 2026Article
- Management of civilian ballistic injuries to the spine: practice patterns and recovery outcomes at a level 1 trauma center.Journal of spine surgery (Hong Kong) · 2025Article
- Spinal gunshot wounds: A systematic review of the literature.North American Spine Society journal · 2025Review
- Article
- Struggle with traumatic spinal cord injury: a need for improved surgical and rehabilitation services.Neurosurgical review · 2024Article
- Predicting early complications in patients with spinal gunshot wounds: A multicenter study.Brain & spine · 2024Article
- Comments on "Gunshot injury to spine: An institutional experience of management and complications from a developing country"-----The need for an interdisciplinary spinal cord injury rehabilitation for improving outcomes in patients with gunshot injury to spine.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2020Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGunshot wounds are the second leading cause of spinal cord injuries. Surgical intervention for gunshot injury to the spine carries a high rate of complications. There is a scarcity of data on civilian gunshot injuries to the spine in Pakistan. Approximately 60 cases over the last 10 years have been recoded, with unusual presentation and neurological recovery. Thus it is imperative to fill this gap in data, by reviewing cases of civilian gunshot injuries to spine presenting at a tertiary care hospital (Aga Khan University Hospital, Karachi).
methodsThis is a retrospective cohort study. Patients of all ages who presented to the emergency department of Aga Khan University Hospital, with gunshot injuries to spine between January 2005 and December 2016 were included in the study. Data were collected on neurological status (American Spinal Injury Association score was used for the initial and follow-up neurological assessment), extent of cord transection, motor and sensory deficits. The patients were further grouped into those with cord transection, and those with fractures of the bony spine but an intact spinal cord. These patients were then followed and the outcomes were recorded.
resultsA total of 40 patients were identified. The mean ± SD of patients age was (30.9 ± 9.5) years. Of the 40 patients with gunshot wounds, 31 had the medical imaging performed at the facility, and hence they were included in this categorization. The remaining 9 patients were excluded from this additional grouping. Thirteen patients were managed surgically and 27 patients underwent the conservative management. The mean ± SD of follow-up was (8.7 ± 7.2) months. In our study, the thoracic spine was the most commonly injured region in gunshot injuries. Of the 31 patients with medical imaging performed at our institute, 17 (54.8%) had cord transection, of whom 8 (47%) ultimately developed paraplegia.
conclusionThe prognosis of gunshot injuries to the spine can be varied depending on whether the spinal cord is intact or transected. This will help healthcare providers to plan the further management of the patient and counsel them accordingly.
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