Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 cases
The frequency of ballistic spinal injuries is rising in developing nations around the globe. These injuries lead to a functional prognosis linked to disabling sequelae and vitals in patients, which often results in serious complications and death.This study describes the epidemiological, diagnostic,...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-03-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751923001433 |
| _version_ | 1797454325736275968 |
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| author | Yannick Canton Kessely Abbia Beidjam Oryon Ndolembai S. Njesada Olivier li-Iyané Félicien G. Toudjingar Mohameth Faye Fandebnet Siniki Ngamai Kotyade Kader Ndiaye Aboubacar Aouami Brahim Soukaya Traoré Sory Donald Djasde Kaimba Bray Constant Assi Momar Codé BA |
| author_facet | Yannick Canton Kessely Abbia Beidjam Oryon Ndolembai S. Njesada Olivier li-Iyané Félicien G. Toudjingar Mohameth Faye Fandebnet Siniki Ngamai Kotyade Kader Ndiaye Aboubacar Aouami Brahim Soukaya Traoré Sory Donald Djasde Kaimba Bray Constant Assi Momar Codé BA |
| author_sort | Yannick Canton Kessely |
| collection | DOAJ |
| description | The frequency of ballistic spinal injuries is rising in developing nations around the globe. These injuries lead to a functional prognosis linked to disabling sequelae and vitals in patients, which often results in serious complications and death.This study describes the epidemiological, diagnostic, therapeutic, evolutionary characteristics of Ballistic Medullar-Vertebral trauma (BMVT). It presents the particularities of management in the sub-Saharan African country of Chad.This is a prospective descriptive study of 27 ballistic spinal injury patients conducted over an 18-month period.Ballistic Medullar-Vertebral injuries (BMVI) represented 12.9 % of spinal trauma. The average age of the patients was 31.8, and 40.7 % were between 31 and 40 years of age. Military personnel represented 78 % of the patients. 44.4 % of cases came from the Lake Chad region. 59.3 % of injuries were caused by Kalashnikov’s (AK 47) firearms. 74.1 % of cases were admitted to the emergency department within 12 to 24 h. The diameter of the wounds that corresponded to the entry orifice of the bullet was between 1 and 2 cm in 59.25 % of the cases. A Dural breach was found in 14.8 %. 48.1 % had ASIA C score and none of them met the criteria for spinal cord injury collection and immobilization. The lumbosacral location was reported in 55.6 %, and the type I Roy Camille fracture was found in 70.37 %. Surgical management was performed in 88.9 % cases. Multidisciplinary management of the associated lesions was performed in 25.9 %. 7.4 % of patients with cervical trauma died due to septic shock.Delayed emergency department admissions and limited access to medicalized transportation are main factors to BMVI in Chad. Lesion is predominantly located in the lumbosacral region. Lesions and spinal cord involvement were factors of poor vital and functional prognosis. Surgery plays an important role in management. Socio-professional reintegration remains problematic. |
| first_indexed | 2024-03-09T15:35:39Z |
| format | Article |
| id | doaj.art-06a3c6f725ba4b6ab51fb99d54c7f63f |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-03-09T15:35:39Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-06a3c6f725ba4b6ab51fb99d54c7f63f2023-11-26T05:12:41ZengElsevierInterdisciplinary Neurosurgery2214-75192024-03-0135101860Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 casesYannick Canton Kessely0Abbia Beidjam Oryon1Ndolembai S. Njesada2Olivier li-Iyané3Félicien G. Toudjingar4Mohameth Faye5Fandebnet Siniki6Ngamai Kotyade7Kader Ndiaye8Aboubacar Aouami9Brahim Soukaya10Traoré Sory11Donald Djasde12Kaimba Bray13Constant Assi14Momar Codé BA15Surgery Department, Chad; Corresponding author at: Hôpital la Renaissance de Ndjamena (Tchad), BP: 2029, Chad.Surgery Department, ChadSurgery Department, ChadSurgery Department, ChadSurgery Department, ChadHôpital general de grand yoff, SenegalSurgery Department, ChadSurgery Department, ChadAnesthesiology Department, ChadRadiology Department, ChadRadiology Department, ChadAnesthesiology Department, ChadSurgery Department, ChadSurgery Department, ChadMedical Department, ChadSurgery Department, ChadThe frequency of ballistic spinal injuries is rising in developing nations around the globe. These injuries lead to a functional prognosis linked to disabling sequelae and vitals in patients, which often results in serious complications and death.This study describes the epidemiological, diagnostic, therapeutic, evolutionary characteristics of Ballistic Medullar-Vertebral trauma (BMVT). It presents the particularities of management in the sub-Saharan African country of Chad.This is a prospective descriptive study of 27 ballistic spinal injury patients conducted over an 18-month period.Ballistic Medullar-Vertebral injuries (BMVI) represented 12.9 % of spinal trauma. The average age of the patients was 31.8, and 40.7 % were between 31 and 40 years of age. Military personnel represented 78 % of the patients. 44.4 % of cases came from the Lake Chad region. 59.3 % of injuries were caused by Kalashnikov’s (AK 47) firearms. 74.1 % of cases were admitted to the emergency department within 12 to 24 h. The diameter of the wounds that corresponded to the entry orifice of the bullet was between 1 and 2 cm in 59.25 % of the cases. A Dural breach was found in 14.8 %. 48.1 % had ASIA C score and none of them met the criteria for spinal cord injury collection and immobilization. The lumbosacral location was reported in 55.6 %, and the type I Roy Camille fracture was found in 70.37 %. Surgical management was performed in 88.9 % cases. Multidisciplinary management of the associated lesions was performed in 25.9 %. 7.4 % of patients with cervical trauma died due to septic shock.Delayed emergency department admissions and limited access to medicalized transportation are main factors to BMVI in Chad. Lesion is predominantly located in the lumbosacral region. Lesions and spinal cord involvement were factors of poor vital and functional prognosis. Surgery plays an important role in management. Socio-professional reintegration remains problematic.http://www.sciencedirect.com/science/article/pii/S2214751923001433Medullary vertebral traumaBallisticsArthrodesis |
| spellingShingle | Yannick Canton Kessely Abbia Beidjam Oryon Ndolembai S. Njesada Olivier li-Iyané Félicien G. Toudjingar Mohameth Faye Fandebnet Siniki Ngamai Kotyade Kader Ndiaye Aboubacar Aouami Brahim Soukaya Traoré Sory Donald Djasde Kaimba Bray Constant Assi Momar Codé BA Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 cases Interdisciplinary Neurosurgery Medullary vertebral trauma Ballistics Arthrodesis |
| title | Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 cases |
| title_full | Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 cases |
| title_fullStr | Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 cases |
| title_full_unstemmed | Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 cases |
| title_short | Particularities of ballistic spinal injuries and management in an African context (Chad): Study of 27 cases |
| title_sort | particularities of ballistic spinal injuries and management in an african context chad study of 27 cases |
| topic | Medullary vertebral trauma Ballistics Arthrodesis |
| url | http://www.sciencedirect.com/science/article/pii/S2214751923001433 |
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