Jourdan P, Breteau J P, Volff P
Service de Neurochiurgie, H.I.A., Sainte-Anne, Toulon.
Neurochirurgie. 1994;40(3):183-95.
A careful study of all clinical observations reported by various authors during one century teaches us that spinal cord wounds caused by a missile path away from the spine have always had vague and mysterious mechanisms. We have simulate shots near the cervical spine included in gelatin and we have shot at pigs weighing 100 kilograms, previously anaesthetized and bio-instrumented according to J. Breteau methodology. So, we have been able to reproduce medullary wounds by shooting in the nape of the neck, away from the cervical spine. The knowledge of all mechanisms of balistic wounds, the analysis of the results obtained and a histological examination of wounded medulla leads us to the conclusion that this type of medullary wound distance from the spinal cord, is not specific and that, in fact, the missile causes an ordinary medullary contusion. While waiting for forthcoming medicinal progress, a management of treatment is suggested.
对一个世纪以来不同作者所报告的所有临床观察结果进行仔细研究后发现，由远离脊柱的导弹轨迹造成的脊髓损伤，其机制一直模糊且神秘。我们在明胶中模拟了靠近颈椎的射击，并对体重100公斤、此前按照J. 布雷托方法进行麻醉和生物仪器植入的猪进行了射击。因此，我们得以通过在颈部后方、远离颈椎的位置射击来再现髓质损伤。对弹道伤所有机制的了解、对所得结果的分析以及对受伤髓质的组织学检查，使我们得出结论：这种类型的髓质损伤距离脊髓并不特殊，事实上，导弹造成的是普通的髓质挫伤。在期待未来医学进步的同时，建议了一种治疗管理方法。
