Vidi
- Injuries to the soft tissues surrounding the spine,
- non-penetrating wounds,
- penetrating blind wounds,
- penetrating through wounds.
Clinic
The clinical picture will vary depending on the type of injury. Complaints also vary depending on the weapon used, as well as:
- like a splinter that wounded,
- from the localization and spread of the lesion,
- the type of entrance canal and from concomitant spinal lesions.
Signs
- Impairment or inability to move below the level of injury,
- impaired sensitivity below the level of injury,
- dysfunction of the pelvic organs.
Diagnostics
Radiography – allows you to determine:
- instrument,
- condition of bone structures,
- the number and size of metal foreign bodies.
The leading diagnostic method is multislice computed tomography. With MSCT, you can carefully analyze:
- condition of the bone structures of the spine,
- spinal cord condition,
- determine the presence/absence of hematomas and foreign bodies,
- determine the degree of spinal cord compression,
- determine the number of foreign objects,
- also allows you to determine the type of injury (soft tissue injury, penetrating wounds, non-penetrating wounds),
- conduct dynamic observation.
Given that most of the striking elements are metal, MRI is contraindicated in this type of injury. MRI can only be performed after all metal fragments have been removed.
Surgical treatment
Penetrating wounds are performed under general anesthesia. When the spinal cord is compressed by bone fragments, foreign bodies, or hematoma, the first stage is to decompress (release) the spinal cord from factors compromising it, and all foreign objects are removed, if possible.
Further, if necessary, a stabilizing operation is performed.
The neurosurgical department performs all types of reconstructive and stabilizing operations for spinal injuries .
Neurosurgeons Nazarenko O.S. and Dmytruk V.S.
