Peripheral nerve injuries (PNI) secondary to gunshot wounds (GSW) are a unique category of neurologic injury that can cause morbidity in young, otherwise healthy individuals, occurring in 25-36% of GSWs. The management of these injuries is understudied and varies throughout the literature. To characterize the clinical characteristics, management, and outcomes of peripheral nerve injury secondary to GSWs through a retrospective review of a single urban Level 1 trauma center's experience.
View Article and Find Full Text PDFBackground: Double crush syndrome (DCS) is defined as multiple sites of compression along a single nerve. The combination of a compressive proximal lesion in the lumbar spine and a distal common peroneal nerve entrapment may result in compound nerve dysfunction.
Methods: A retrospective analysis of 100 patients who underwent common peroneal nerve decompression with a diagnosis of L5 radiculopathy between January 2000 and April 2023 at two quaternary academic institutions was performed.
Background And Objective: Iatrogenic spinal durotomies occur at a rate of 1% to 17%. Surgical simulation for durotomy repair is needed to provide affordable, accessible, and validated practice. This study sought to design and validate a simple 3-dimensional printed model for spinal cerebrospinal fluid (CSF) leak repair and to introduce the Rochester original objective structured assessment of technical skills (OSATS) CSF leak (ROCL) repair criteria for assessment.
View Article and Find Full Text PDFClin Neurol Neurosurg
August 2024
Study Design: This study was a multicenter retrospective analysis of cervical spine gunshot wound (GSW) patients.
Objective: The present study was conducted to evaluate the management and outcomes of vascular injuries following GSW involving the cervical spine.
Summary Of Background Data: Gunshot wounds (GSW) injuring the cervical spine are associated with high rates of vascular injury.
Background Context: Gunshot wounds (GSWs) to the vertebral column represent an important cause of morbidity and mortality in the United States, constituting approximately 20% of all spinal injuries. The management of these injuries is an understudied and controversial topic, given its heterogeneity and lack of follow-up data.
Purpose: To characterize the management and follow-up of GSWs to the spine.