The importance of mechanism in penetrating spinal injuries - A comparative study between gunshot wounds versus stab wounds to the spine managed at a major trauma centre in South Africa
GSWs and SWs of the spine are distinct entities. GSWs are more likely to have severe systemic illness from concurrent organ injuries compared to SWs. In contrast, SWs are more likely to be incomplete cord injuries and carry a much better prognosis for neurological improvement/ambulation. The indications for surgery must be individualised.
Authors
- Reuben He (ORCID: https://orcid.org/0000-0001-8541-5464)
- Jonathan Ko (ORCID: https://orcid.org/0000-0001-8139-5208)
- H Wain
- Shuba Kosna (ORCID: https://orcid.org/0000-0001-5431-6666)
- Hong Xiang Lee (ORCID: https://orcid.org/0000-0001-8461-9932)
- Cynthia Cheung
- Victor Contreras Kong (ORCID: https://orcid.org/0000-0003-2291-2572)
- William Yeung
- Grant Laing (ORCID: https://orcid.org/0000-0001-8075-0386)
- Damian Clarke
- Wanda Bekker
- Joshua Ahn (ORCID: https://orcid.org/0000-0001-9509-2275)
- Daniel Lee
Institutions
- University of Auckland (NZ)
- University of the Witwatersrand (ZA)
- Chris Hani Baragwanath Hospital (ZA)
- Auckland City Hospital (NZ)
- University of KwaZulu-Natal (ZA)
Publication Details
- Journal
- The Surgeon
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1016/j.surge.2026.02.006
- Primary Topic
- Spinal Cord Injury Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00