@article{ref1,
title="Prognostic factors related to gunshot wounds to the spine in patients submitted to laminectomy",
journal="Arquivos de Neuro-Psiquiatria",
year="1999",
author="Flores, L. P. and Nascimento Filho, J. de S. and Pereira Neto, A. and Suzuki, K.",
volume="57",
number="3B",
pages="836-842",
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.<p /><p>Language: pt</p>",
language="pt",
issn="0004-282X",
doi="",
url="http://dx.doi.org/"
}