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.
|
Authors | L P Flores, J de S Nascimento Filho, A Pereira Neto, K Suzuki |
Journal | Arquivos de neuro-psiquiatria
(Arq Neuropsiquiatr)
Vol. 57
Issue 3B
Pg. 836-42
(Sep 1999)
ISSN: 0004-282X [Print] Germany |
Vernacular Title | Fatores prognósticos do trauma raquimedular por projetil de arma de fogo em pacientes submetidos a laminectomia. |
PMID | 10751920
(Publication Type: English Abstract, Journal Article)
|
Topics |
- Adolescent
- Adult
- Female
- Humans
- Laminectomy
- Male
- Prognosis
- Retrospective Studies
- Spinal Cord Injuries
(surgery)
- Wounds, Gunshot
(surgery)
|