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[Prognostic factors related to gunshot wounds to the spine in patients submitted to laminectomy].

Abstract
The spinal trauma related to civilian gunshot missile still remains a serious neurological event that carries a dismal prognosis almost in all cases. Its surgical indication also is a matter of discussion. Our goal is to identify the aspects that could influence the prognosis after surgery to this kind of lesions. We conducted a retrospective study of 45 consecutive patients submitted to laminectomy at Hospital de Base do Distrito Federal (Brasília, Brazil), testing the following aspects: initial neurological status, level of the deficit, surgical timing, use of methilprednisolone and presence of dural tearing. Among those, the initial clinical presentation and the level of the lesion (60% of the patients with cauda equina syndrome and 53% of that with lesions in the lombar region improved their neurological status after laminectomy) were the most important factors affecting the outcome. Seventy percent of the patients experienced a pain relief after the surgical procedure.
AuthorsL P Flores, J de S Nascimento Filho, A Pereira Neto, K Suzuki
JournalArquivos de neuro-psiquiatria (Arq Neuropsiquiatr) Vol. 57 Issue 3B Pg. 836-42 (Sep 1999) ISSN: 0004-282X [Print] Germany
Vernacular TitleFatores prognósticos do trauma raquimedular por projetil de arma de fogo em pacientes submetidos a laminectomia.
PMID10751920 (Publication Type: English Abstract, Journal Article)
Topics
  • Adolescent
  • Adult
  • Female
  • Humans
  • Laminectomy
  • Male
  • Prognosis
  • Retrospective Studies
  • Spinal Cord Injuries (surgery)
  • Wounds, Gunshot (surgery)

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