Shen Francis Hao-Tso, Samartzis Dino
Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA, USA.
Asian Spine J. 2013 Mar;7(1):44-9. doi: 10.4184/asj.2013.7.1.44. Epub 2013 Mar 6.
Gunshot wounds to the spine account for 13% to 17% of all gunshot injuries and occur predominantly in the thoracic region. Minimally invasive spine surgery procedures implementing serial muscle dilation and the use of a tubular retracting system with a working channel minimize soft tissue trauma, facilitate less bony and soft tissue resection, decrease blood loss, minimize scarring and improve cosmesis, decrease hospitalization, and reduce postoperative pain and narcotic usage in comparison to more open, traditional approaches. Although minimally invasive spine surgery techniques and instrumentation have gained considerable attention, their application in the management of gunshot injuries to the sacrum has not been reported. The following is a brief case report of a 21-year-old male who sustained a gunshot injury to the sacrum who was managed operatively via minimally invasive spine surgery techniques and instrumentation.
脊柱枪伤占所有枪伤的13%至17%，主要发生在胸部区域。与更开放的传统手术方法相比，采用连续肌肉扩张和使用带有工作通道的管状牵开系统的微创脊柱手术程序可将软组织创伤降至最低，减少骨和软组织切除，减少失血，使瘢痕形成最小化并改善美观，缩短住院时间，减轻术后疼痛并减少麻醉剂使用。尽管微创脊柱手术技术和器械已受到广泛关注，但其在骶骨枪伤治疗中的应用尚未见报道。以下是一例21岁男性骶骨枪伤的简要病例报告，该患者通过微创脊柱手术技术和器械进行了手术治疗。
