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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2025, Number 3

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Cir Columna 2025; 3 (3)

Morphological classification of wounds caused by a fire weapon in spinal column

Buendía VDE, Soberanis NAC, Taylor MMA, Peña RNP

Language: Spanish
References: 13
Page: 158-166
PDF size: 267.28 Kb.


ABSTRACT

Gunshot wounds to the spine have shown an increase worldwide due to the increase in possession of firearms in the civilian population as well as the increase in drug trafficking and consumption in all countries of the world. According to the most recent epidemiology available in current literature, an increase in this type of firearm injuries has been observed during and after the SARS-CoV-2 contingency in 2019, in the main cities of the United States of America such as Nueva York, Chicago and Los Angeles. The treatment of this type of injury continues to be controversial in certain aspects, and without a unified consensus as referred to in the world literature, starting from the parameter that surgical treatment of the spine is indicated when there is a neurological damage with evidence of compression at the level of the spinal cord and site of injury, due to spinal instability and proximity of the projectile to the neurological canal or spinal canal. It must be taken into account that the anatomy of each vertebra according to the segment increases the possibility of associated injuries, such as in the thoracolumbar spine due to its proximity to the abdominal organs, and in turn favors the risk of contamination of the wound, making it essential to modify the treatment scheme. antibiotic according to the segment of the spine affected. The objective of this work is to propose a classification for gunshot wounds to the spine "TLEP" that is reproducible and can facilitate an evaluation algorithm in the future, to develop a prognostic scale for the unified treatment of these injuries.


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