World Neurosurg. 2018 Jul;115:285-287. doi: 10.1016/j.wneu.2018.04.198. Epub 2018 May 7.
Protas M, Schumacher M, Iwanaga J, Yilmaz E, Oskouian RJ, Tubbs RS.
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.
Copyright © 2018. Published by Elsevier Inc.
KEYWORDS:
American Civil War; Gunshot wounds; Neurosurgery; Spinal injury; Surgery