Treatment of Gunshot Wounds to Spine During Late 19th Century.

Document Type

Article

Publication Date

7-1-2018

Publication Title

World Neurosurg

Keywords

American Civil War; Crimean War; History, 19th Century; Humans; Military Medicine; Neurosurgical Procedures; Spinal Injuries; Treatment Outcome; Wounds, Gunshot

Abstract

BACKGROUND: The demand for neurosurgical procedures increased drastically in the late 19th century owing to advances in ballistics during the American Civil War and Crimean War.

METHODS AND RESULTS: Surgical care for a gunshot wound to the spine relied on skilled identification and removal of the fractured bone. Hemorrhage control and infection prevention were also imperative for improving survival rates.

CONCLUSIONS: Although new techniques were implemented, the mortality rate from spinal injuries during this period was staggering. Nevertheless, those 19th century procedural methods provided the basis for present-day treatment for spinal injury patients.

Clinical Institute

Neurosciences (Brain & Spine)

Department

Neurosciences

Department

Surgery

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