Relationship of biological factors to survival in spinal gunshot injuries

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dc.contributor.authorSecer, Mehmet
dc.contributor.authorUlutas, Murat
dc.contributor.authorAlagoz, Fatih
dc.contributor.authorUckun, Ozhan Merzuk
dc.contributor.authorCinar, Kadir
dc.contributor.authorYel, Cihat
dc.contributor.authorGokce, Emre Cemal
dc.date.accessioned2025-10-24T18:10:10Z
dc.date.available2025-10-24T18:10:10Z
dc.date.issued2016
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractBACKGROUND: Gunshot injuries are the third leading cause of spinal injuries, after falls from a significant height and traffic accidents. Severity of spinal damage from gunshot injury depends upon certain mechanical and biological factors. The aim of the present study was to investigate the effect of biological factors on survival in cases of spinal gunshot injury. METHODS: A total of 110 cases of spinal gunshot injury admitted multiple times to emergency services between 2012 and 2014 were included. Age, sex, region of trauma, additional organ or systemic involvement, treatment modalities (conservative, surgical), and mortality rates were analyzed. Effects of biological factors on survival were evaluated. RESULTS: Mean age of the study population was 25.51 +/- 11.74 years (min: 4; max: 55) and 95.5% of the population was male. Regions of trauma were thoracic in 50 (45.4%) subjects, cervical in 42 (38.2%), and lumbar in 18 (16.4%). Most common American Spinal Injury Association (ASIA) score was category A, as was found in 77 (70%) cases. No significant correlation was found among age, sex, ASIA score, treatment modality (conservative or surgical), and survival (p>0.05). Additional organ or systemic injury was present in 66 (60%) patients. Additional organ or systemic injury significantly affected survival, independent of the spinal region of trauma (p<0.01). CONCLUSION: Spinal gunshot injuries are complex, with unclear treatment protocol. Irrespective of the indications of spinal surgery, additional organ injuries unfavorably affect survival in cases of spinal gunshot injury. Appropriate management of all biological factors directly affects mortality rate in cases of spinal gunshot injury.
dc.identifier.doi10.5505/tjtes.2015.76228
dc.identifier.endpage258
dc.identifier.issn1306-696X
dc.identifier.issue3
dc.identifier.pmid27598589
dc.identifier.scopus2-s2.0-84969136004
dc.identifier.scopusqualityQ3
dc.identifier.startpage253
dc.identifier.trdizinid262619
dc.identifier.urihttps://doi.org/10.5505/tjtes.2015.76228
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/262619
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4024
dc.identifier.volume22
dc.identifier.wosWOS:000376401200007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal Of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20251023
dc.subjectBiological factors; spinal gunshot injury; survival
dc.titleRelationship of biological factors to survival in spinal gunshot injuries
dc.title.alternativeSpinal ateşli silah yaralanmasında biyolojik faktörlerin sağkalımla ilişkisi
dc.typeArticle

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